Individual
MR. JONATHAN REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
767 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3941
(857) 204-7357
Mailing address
767 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3941
(857) 204-7357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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