Individual
DEBRA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5420
Mailing address
20 RED SQUIRREL LN, CHESTER, NH 03036-4241
(603) 828-2060
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
205295
MA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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