Individual
MISS SONIA NERTELEY NETTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 OTIS ST UNIT 2, MEDFORD, MA 02155-4031
(617) 792-2270
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2258693
MA
Other
Enumeration date
02/05/2016
Last updated
08/20/2016
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