Individual
MISS GERALDINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN/OTHER
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-5480
Mailing address
150 S HUNTINGTON AVE, RM E1-118 PROSTHETICS AND SENSORY AID SERVICES, BOSTON, MA 02130-4817
(857) 364-5480
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
TECHNICIAN
MA
Enumeration date
01/26/2009
Last updated
01/26/2009
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