Individual
BMENET GIRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77B BOLTON ST, CAMBRIDGE, MA 02140-3310
(857) 919-3876
Mailing address
77B BOLTON ST, CAMBRIDGE, MA 02140-3310
(857) 919-3876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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