Individual
MRS. MELISSA CAROLYN MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1382 RIVER ST, HYDE PARK, MA 02136-2129
(857) 498-2396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2269989
MA
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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