Individual
ALLISON ESPINOSA PANGANIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4993 WASHINGTON ST, WEST ROXBURY, MA 02132-2146
(617) 413-6537
Mailing address
4993 WASHINGTON ST, WEST ROXBURY, MA 02132-2146
(617) 413-6537
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
071676
MA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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