DONOVAN ALEXANDER INNISS

BOSTON, MA
NPI1245099514
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
DONOVAN ALEXANDER INNISS
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-724-4068
Mailing Address
DONOVAN ALEXANDER INNISS
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number:
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