Individual
AYANA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WASHINGTON ST, EAST BRIDGEWATER, MA 02333-1236
(774) 766-7763
Mailing address
1015 WASHINGTON ST, EAST BRIDGEWATER, MA 02333-1236
(774) 766-7763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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