Individual
JEEVITHA KEMPEGOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 PARKER HILL AVE, BOSTON, MA 02120-3225
(617) 278-4249
Mailing address
53 PARKER HILL AVE, BOSTON, MA 02120-3225
(617) 278-4249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
08/28/2015
Last updated
02/03/2021
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