Individual
KARINA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BEACH ST, REVERE, MA 02151-3131
(617) 912-7788
Mailing address
81 WENHAM ST, APT 2, JAMAICA PLAIN, MA 02130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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