Individual
ELIZABETH SIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
634 CENTRE ST, JAMAICA PLAIN, MA 02130-2554
(857) 919-0684
Mailing address
634 CENTRE ST, JAMAICA PLAIN, MA 02130-2554
(857) 919-0684
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
696
MA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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