Individual
MS. MEDINA KUSURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(617) 591-4500
Mailing address
1223 BEACON ST APT 316, BROOKLINE, MA 02446-5391
(773) 595-7066
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
041386287
IL
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN2278038
MA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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