Individual
MISS SANA MORONDIA GABISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 BRADLEE ST APT 10, HYDE PARK, MA 02136-2227
(617) 364-4688
Mailing address
116 BRADLEE ST APT 10, HYDE PARK, MA 02136-2227
(617) 364-4688
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
204776
MA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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