Nicole Wynne

NPI #1164967105 in Medford, Massachusetts

Provider Information

NPI Number: 1164967105
Entity Type: Individual
Name: Nicole Wynne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 29, 2016
Last Updated: Dec 29, 2016

Practice Location

Address: 120 MURRAY ST
City: Medford
State: Massachusetts
ZIP Code: 02155-1300
Phone: (781) 391-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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