Individual
SHELLY EMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 740-8089
(617) 287-0149
Mailing address
569 PLEASANT ST, STOUGHTON, MA 02072-1061
(857) 244-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2284649
MA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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