Individual
NUSIRAT SALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 287-8000
Mailing address
36 MCLELLAN ST, APT2, DORCHESTER, MA 02121-4043
(339) 532-9684
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
92429
MA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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