Individual
CECILIA JANE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2324895
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2324895
MA
Other
Enumeration date
02/26/2024
Last updated
09/22/2025
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