Individual
TRACY ALEXIS-ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
20 MERRIAM ST UNIT 1, SOMERVILLE, MA 02143-3442
(617) 283-1004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92657
MA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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