Individual
EMMA K IWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Mailing address
1191 BRASELTON HWY, LAWRENCEVILLE, GA 30043-4611
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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