Individual
JUNNIE ANGELINA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
70 FULTON ST, BOSTON, MA 02109-1402
(781) 404-7045
Mailing address
70 FULTON ST, BOSTON, MA 02109-1402
(781) 404-7045
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2321259
MA
Other
Enumeration date
11/07/2017
Last updated
05/07/2019
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