Individual
MIMOZA SHEHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
30 BALDWIN ST UNIT 1, MALDEN, MA 02148-2802
(860) 406-1366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6301
MA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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