COREY L SOUTHWORTH

BOSTON, MA
NPI1649595596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  279381)
Enumeration Date2010-04-05
Last Update Date2014-01-27
Business Address
-- COREY L SOUTHWORTH CRNA
50 STANIFORD ST # S50-1002
BOSTON, MA 02114-2517
Phone number: 617-724-7168
Mailing Address
-- COREY L SOUTHWORTH CRNA
50 STANIFORD ST # S50-1002
BOSTON, MA 02114-2517
Phone number: 617-724-7168