Individual
YANEL LUCIA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 NEPONSET AVE STE 3, DORCHESTER, MA 02122-3169
(857) 217-3700
Mailing address
415 NEPONSET AVE STE 3, DORCHESTER, MA 02122-3169
(857) 217-3700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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