Individual
LISA J KENDRICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6010
Mailing address
70 EXCHANGE ST APT 201, LYNN, MA 01901-1446
(617) 957-6569
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2295379
MA
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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