Individual
EMILY ROSE HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(715) 579-1453
(715) 579-1453
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(715) 579-1453
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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