Individual
ELISE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REDFIELD ST, DORCHESTER, MA 02122-3630
(617) 288-7450
Mailing address
50 REDFIELD ST, DORCHESTER, MA 02122-3630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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