Individual
KAYLA DITOMMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 BEHARRELL ST # 80A, CONCORD, MA 01742-1739
(781) 259-9292
(781) 259-0747
Mailing address
80 BEHARRELL ST # 80A, CONCORD, MA 01742-1739
(781) 259-9292
(781) 259-0747
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2306949
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN2306949
MA
Other
Enumeration date
02/03/2017
Last updated
11/26/2020
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