Individual
DRISS BAHRAOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 THORNTON ST #1, REVERE, MA 02151
(617) 849-3750
Mailing address
21 THORNTON ST #1, REVERE, MA 02151
(617) 849-3750
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
MA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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