Individual
MARY KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
681 TREMONT ST, BOSTON, MA 02118-1281
(617) 391-0088
(617) 391-0068
Mailing address
681 TREMONT ST, BOSTON, MA 02118-1281
(617) 391-0088
(617) 391-0068
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4786
MA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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