Individual
RUDIE U ANTHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
BAYCOVE HUMAN SERVICE PACT TEAM, 66 CANAL STREET, BOSTON, MA 02114
(617) 971-9400
Mailing address
15 RONAN ST., APT 3, BOSTON, MA 02125
(401) 742-1013
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN.1680735
CO
163WG0000X
General Practice Registered Nurse
RN2362637
MA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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