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Individual

ABULINE P JAIDAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 KIMBALL CT APT 313, WOBURN, MA 01801-6441
(617) 230-4852
Mailing address
1 KIMBALL CT APT 313, WOBURN, MA 01801-6441

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2347317
MA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2341317
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2347317
MA

Other

Enumeration date
09/13/2023
Last updated
06/11/2025
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