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VASSO ANEST KUMARELAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1285 BEACON ST, BROOKLINE, MA 02446-5237
(617) 751-6205
(617) 487-8663
Mailing address
1720 W HORIZON RIDGE PKWY STE 140, HENDERSON, NV 89012-4896
(702) 566-5445
(702) 566-5035

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA6390
MA
363AM0700X
Medical Physician Assistant
PA1688
NV

Other

Enumeration date
01/20/2016
Last updated
03/02/2020
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