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Individual

EMELY VIDAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
46 MELROSE ST APT 3, BOSTON, MA 02116-5318
(813) 486-1101
Mailing address
46 MELROSE ST APT 3, BOSTON, MA 02116-5318
(813) 486-1101

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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