Individual
MARYAM KETABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
978 WORCESTER ST, WELLESLEY, MA 02482-3709
(781) 235-3555
(781) 235-3833
Mailing address
978 WORCESTER ST, WELLESLEY, MA 02482-3709
(781) 235-3555
(781) 235-3833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22375
MA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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