Individual
JUDITH DORISMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 WEBSTER ST # 2, MALDEN, MA 02148-4424
(781) 350-0959
Mailing address
195 WEBSTER ST # 2, MALDEN, MA 02148-4424
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT10240
MA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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