Individual
KYLA LEILANI CARDOSO LAMITIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 GOLD STAR RD, CAMBRIDGE, MA 02140-1119
(857) 209-1091
Mailing address
56 GOLD STAR RD, CAMBRIDGE, MA 02140-1119
(857) 209-1091
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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