Individual
JULIANA ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
9 HIGHLAND ST, WALTHAM, MA 02453-3454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2328693
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2328693
MA
Other
Enumeration date
08/23/2022
Last updated
06/17/2024
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