Individual
MRS. MARIETTE TYEDMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
300 LONGWOOD AVE DEPT OF, BOSTON, MA 02115-5724
(617) 355-6845
(617) 730-0392
Mailing address
57 MAGEE ST, CAMBRIDGE, MA 02139-2915
(617) 864-1296
Taxonomy
Speciality
Code
Description
License number
State
156FX1900X
Orthoptist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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