Individual
MAURINE AZA KISOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CONCORD ST STE 2A&B, FRAMINGHAM, MA 01702-8328
(508) 817-5041
Mailing address
100 CONCORD ST STE 2A&B, FRAMINGHAM, MA 01702-8328
(508) 817-5041
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2290966
MA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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