Individual
CHAYENNE GUTTIERREZ HARAGUSHIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 591-4510
Mailing address
26 BLUEBERRY LN, LEXINGTON, MA 02420-2402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2263590
MA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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