Individual
IVA PENEZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 UNION AVE STE 11, FRAMINGHAM, MA 01702-8287
(508) 620-2992
Mailing address
5316 JEFFERSON PL, BELLINGHAM, MA 02019-6310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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