Individual
KELLY JEAN SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 GRANT ST # 2, SOMERVILLE, MA 02145-1927
(617) 460-5731
Mailing address
62 GRANT ST # 2, SOMERVILLE, MA 02145-1927
(617) 460-5731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
273956
MA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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