Individual
MRS. ANA C LAYRISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 TYLER ST, SOMERVILLE, MA 02143-3241
(617) 629-3919
(617) 629-4644
Mailing address
10 LAKE SHORE TER APT 4, BRIGHTON, MA 02135-6331
(617) 254-0089
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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