Individual
JHOANA C YACTAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
42 SUMMIT RD, HOLBROOK, MA 02343-2139
(781) 874-9723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2299627
MA
Other
Enumeration date
03/15/2021
Last updated
02/22/2023
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