IRINA SELIVERSTOV

LYNN, MA
NPI1386646099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MD  218125)
Enumeration Date2005-08-12
Last Update Date2007-07-08
Business Address
-- IRINA SELIVERSTOV N.P.
34 STATE ST
LYNN, MA 01901-1505
Phone number: 781-581-6181
Mailing Address
-- IRINA SELIVERSTOV N.P.
34 STATE ST
LYNN, MA 01901-1505
Phone number: 781-581-6181