Individual
MAILE SIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2691
(617) 522-0650
Mailing address
157 MURDOCK ST, BRIGHTON, MA 02135-2309
(650) 759-4118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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