Individual
CHANTRA MAIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6810
Mailing address
18 ACORN ST, LYNN, MA 01902-3825
(781) 367-4072
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3125
MA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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