Individual
SEAN MAXWELL JOUDRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 WATER ST, WAKEFIELD, MA 01880-3058
(781) 621-5413
Mailing address
37 WATER ST, WAKEFIELD, MA 01880-3058
(781) 621-5413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
MA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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