Individual
ANDREW MENDONSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30 WINTER ST, BOSTON, MA 02108-4720
(866) 874-3972
Mailing address
30 WINTER ST, BOSTON, MA 02108-4720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2267716
MA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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