Individual
MS. KAYLA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6000
Mailing address
31 TURKEY HILL RD, WEST NEWBURY, MA 01985-2009
(978) 406-7309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299577
MA
363L00000X
Nurse Practitioner
Primary
RN2299577
MA
Other
Enumeration date
01/16/2017
Last updated
03/27/2017
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