Individual
AUDREY MOTTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
266 LINCOLN AVE, SAUGUS, MA 01906-3037
(781) 233-6830
Mailing address
266 LINCOLN AVE, SAUGUS, MA 01906-3037
(781) 233-6830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3436
MA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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