Individual
MS. MERCY KRUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
75 N MAIN ST, RANDOLPH, MA 02368-4605
(617) 792-5343
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN259095
MA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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