Individual
MRS. CYNTHIA D JOHNSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC NP
Contact information
Practice address
240 MEDFORD AVE, CHARLESTOWN HIGH SCHOOL, CHARLESTOWN, MA 02129
(617) 534-9957
(617) 534-9956
Mailing address
1010 MASSACHUSETTS AVENUE, BOSTON, MA 02118
(617) 534-2398
(617) 534-4688
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
115301
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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