Individual
JUDITH MARIE JOSEPHINE MIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 541-3670
Mailing address
75 ANNAFRAN ST, ROSLINDALE, MA 02131-4706
(617) 833-7352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2277704
MA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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