Individual
KAMILAH SHAKURA BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
69 ALLEGHANY ST, BOSTON, MA 02120-3336
(617) 372-5981
Mailing address
58 KENSINGTON PARK, BOSTON, MA 02119-2278
(617) 372-5981
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894174
MASSACHUSETTS EMT
MA
Enumeration date
05/28/2013
Last updated
05/28/2013
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