Individual
DANIELLE MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 COLLEGE AVE, MEDFORD, MA 02155-5593
(617) 627-5102
Mailing address
24 NATHANIEL RD, WINCHESTER, MA 01890-1220
(781) 223-3173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2318
MA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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