Individual
ELIZABETH ANN TRAISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
439 W 4TH ST, #1, SOUTH BOSTON, MA 02127-2653
(617) 464-1715
Mailing address
439 W 4TH ST, #1, SOUTH BOSTON, MA 02127-2653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232296
MA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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