Individual
EMER ANN GRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAGAZINE ST, CAMBRIDGE, MA 02139-4743
(617) 492-7220
Mailing address
144 MAGAZINE ST, CAMBRIDGE, MA 02139-4743
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
190793
MA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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