Individual
GLADYS YASMIN SORTO AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 WASHINGTON ST STE 2, BOSTON, MA 02130-3760
(617) 983-5800
Mailing address
50 BROOKWAY RD APT 526, BOSTON, MA 02131-1223
(617) 412-7174
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016452235
—
MA
Enumeration date
02/25/2016
Last updated
02/25/2016
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