Individual
MRS. BRANDY DITOMASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1069 MAIN ST, LEICESTER, MA 01524-1324
(508) 892-5595
Mailing address
1069 MAIN ST, LEICESTER, MA 01524-1324
(508) 892-5595
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
9780
MA
174400000X
Specialist
Primary
9780
MA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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