Individual
MR. MANOEL HELIO LINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O 5699
Contact information
Practice address
553 BROADWAY, EVERETT, MA 02149
(617) 387-7744
Mailing address
553 BROADWAY, EVERETT, MA 02149
(617) 387-7744
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
DO5699
MA
156FX1800X
Optician
Primary
DO5699
MA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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