Individual
EMALINE SURGENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139-1047
(617) 575-5399
Mailing address
39 TROWBRIDGE ST # 1, ARLINGTON, MA 02474-5526
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
04/12/2022
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