Individual
LUZ MARIA MATUL-IXLAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 FRANKLIN ST, LYNN, MA 01904-3230
(781) 593-2727
Mailing address
43 GOLDTHWAIT ST, LYNN, MA 01902-2613
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922174226
DEVELOPMENTAL SERVICES
—
Enumeration date
07/19/2023
Last updated
07/19/2023
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