Individual
MICHAEL XINTAO NI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
792 S MAIN ST, MANSFIELD, MA 02048-3137
(774) 331-8227
Mailing address
16 WALNUT ST UNIT 2, MEDFORD, MA 02155-4438
(978) 427-3200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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