Individual
LEAH MAE FRAIELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 603-6220
Mailing address
215 PLAIN ST, BROCKTON, MA 02302-4518
(508) 584-9672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2291647
MA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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