Most Relevant Information
Provider Data
| NPI Number: | 1003679408 |
| Provider Name: | KATHERINE WINEBRAKE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2024 |
| Last Updated: | 01/31/2024 |
Provider Practice Location
635 ALBANY ST
BOSTON
MA
021183550
Practice Location Phone/Fax
| Phone: | 6173588300 |
| Fax: |
Provider Mailing Location
635 ALBANY ST
BOSTON
MA
021183550
Provider Mailing Phone/Fax
| Phone: | 6173588300 |
| Fax: |