MR. Walter John Moulaison JR., RN
NPI #1972651735 in Boston, Massachusetts
Provider Information
- NPI Number
- 1972651735
- Entity Type
- Individual
- Name
- MR. Walter John Moulaison JR., RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Administrator
- Credential
- RN
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 55 FRUIT ST
- Address 2
- CLINICS BUILDING 144
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02114-2621
- Phone
- (617) 726-2577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
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