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Individual

MS. MONICA LATOS HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
850 HARRISON AVE, YACC, 3RD FLOOR, BOSTON, MA 02118-4001
(617) 638-6100
(617) 638-6179
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN189178
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110019051A
MA
Enumeration date
12/01/2006
Last updated
06/10/2014
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