Individual
VANESSA LEE RALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
68B ROUTE 6A, SANDWICH, MA 02563-1864
(508) 833-0269
Mailing address
68B ROUTE 6A, SANDWICH, MA 02563-1864
(508) 833-0269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
283959
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283959
MEDICAL LICENSE
MA
Enumeration date
03/27/2017
Last updated
07/20/2020
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