Individual
LEA CHILAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(617) 803-0387
Mailing address
1323 COMMONWEALTH AVE, NEWTON, MA 02465-2912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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