Individual
JOHNATHON HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 BOYLSTON ST, CHESTNUT HILL, MA 02467-1715
(617) 916-0895
Mailing address
64 FLETCHER ST # 1, ROSLINDALE, MA 02131-1918
(401) 595-7812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2296537
MA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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