Individual
MAIYA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 WORCESTER RD, FRAMINGHAM, MA 01701-5410
(508) 628-6300
Mailing address
2 JEFFERSON RD, NORTHBOROUGH, MA 01532-2223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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