Individual
LAURA R VIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
697 WASHINGTON ST, SUITE 202, NEWTON, MA 02458-1260
(781) 330-9144
Mailing address
5 FLOYD ST APT 4, WALTHAM, MA 02453-4236
(781) 330-9144
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3714
MA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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