Individual
MAKAYLLA VEZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PARK AVE, WORCESTER, MA 01610-1025
(508) 792-3866
(508) 797-0713
Mailing address
400 PARK AVE, WORCESTER, MA 01610-1025
(508) 792-3866
(508) 797-0713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
240629
MA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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