Individual
MARLINE AURELIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 MEADOWBROOK WAY, CANTON, MA 02021-2496
(781) 961-5600
Mailing address
47 HIGHLAND AVE APT 12A, RANDOLPH, MA 02368-4520
(617) 820-0204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8112
MA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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