Individual
KIT SUM LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 TRAPELO RD, BELMONT, MA 02478-1403
(617) 489-6542
Mailing address
535 TRAPELO RD, BELMONT, MA 02478-1403
(617) 489-6542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH1000137
MA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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