Individual
JADER SIQUEIRA BATISTA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 CHARLES ST, BOSTON, MA 02114-4607
(617) 720-1992
Mailing address
26 GREENVILLE ST UNIT 5, ROXBURY, MA 02119-2316
(617) 642-2358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17698
MA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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