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Individual

LUIS ALONSO WEBSTER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 SEMINARY AVE, AUBURNDALE, MA 02466-2650
(617) 964-7970
Mailing address
PO BOX 200751, BOSTON, MA 02120-0013
(617) 959-1332
(617) 516-8934

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
474883763
MA
374U00000X
Home Health Aide
474883763
MA

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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