Individual
ERIKA MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 PLYMOUTH BLVD, WESTPORT, MA 02790-4623
(774) 930-2052
Mailing address
153 PLYMOUTH BLVD, WESTPORT, MA 02790-4623
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH12732
MA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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