Individual
SELENA GASPAR-DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
36 RECTOR RD, BOSTON, MA 02126-2006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1004957
FL
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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