Individual
MRS. ELISE ANNE MAYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
120 VASSAR ST, CAMBRIDGE, MA 02139
(617) 715-5228
Mailing address
120 VASSAR ST, CAMBRIDGE, MA 02139
(617) 715-5228
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1849
MA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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