Individual
MRS. LEANNE MARIE WHETSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6171
MA
363AS0400X
Surgical Physician Assistant
6171
MA
Other
Enumeration date
08/17/2017
Last updated
07/11/2018
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