Individual
MRS. KRISTIN LE LIEVRE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
23 WATER ST, SUITE 201, HOLLISTON, MA 01746-2364
(508) 380-2581
Mailing address
23 WATER ST, SUITE 201, HOLLISTON, MA 01746-2364
(508) 380-2581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-524-MF
MA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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