Individual
VIVIAN ELIZABETH ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2304100
MA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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