Individual
FALLON HELEANA BUONOPANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(857) 919-7922
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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