DANIEL STAKUTIS

MEDFORD, MA
NPI1558156802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MA  2312263)
Enumeration Date2025-04-09
Last Update Date2025-04-09
Business Address
MR. DANIEL STAKUTIS
100 RIVERS EDGE DR UNIT 448
MEDFORD, MA 02155-5477
Phone number: 508-380-2208
Mailing Address
MR. DANIEL STAKUTIS
100 RIVERS EDGE DR UNIT 448
MEDFORD, MA 02155-5477
Phone number: 508-380-2208