Individual
MISS GUETCHINA LETANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 RESERVOIR AVE, REVERE, MA 02151-5823
(781) 521-3377
Mailing address
417 RESERVOIR AVE, REVERE, MA 02151-5823
(781) 521-3377
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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