Individual
EI EI KYAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 615-2312
Mailing address
55 CENTRAL AVE, HYDE PARK, MA 02136-2949
(617) 615-2312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9518510
MA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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