Individual
KERILEE PELLETRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 CUMMINGS CTR, SUITE 429A, BEVERLY, MA 01915-6115
(978) 712-0798
Mailing address
100 CUMMINGS CTR, SUITE 429A, BEVERLY, MA 01915-6115
(978) 712-0798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6719
MA
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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