SHANE DERBY

BOSTON, MA
NPI1053509323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MA  263329)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
-- SHANE DERBY RN
729 MASS AVE
BOSTON, MA 02118-2318
Phone number: 857-654-1000
Mailing Address
-- SHANE DERBY RN
729 MASS AVE
BOSTON, MA 02118-2318
Phone number: 857-654-1000
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