Individual
SUSAN AMANDA KAFTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
251 WALTHAM ST, LEXINGTON, MA 02421-4903
(781) 861-6785
Mailing address
251 WALTHAM ST, LEXINGTON, MA 02421-4903
(781) 861-6785
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
181562
MA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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