Individual
STACY ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 STATE RD E, WESTMINSTER, MA 01473-1209
(978) 895-9625
Mailing address
132 STATE RD E, WESTMINSTER, MA 01473-1209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6047
MA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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