Individual
ROSA MIRIAN JOAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
(617) 591-4076
Mailing address
4442 WASHINGTON ST # 2, ROSLINDALE, MA 02131-3429
(929) 465-0637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN235775
MA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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