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Individual

CLAIRE WAKULYAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
30 TAUNTON GRN STE 5, TAUNTON, MA 02780-3243
(617) 792-9723
Mailing address
30 TAUNTON GRN STE 5, TAUNTON, MA 02780-3243

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2307421
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2307421
MA

Other

Enumeration date
05/30/2018
Last updated
04/14/2023
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