Individual
ANASTASIA MANIATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 MAIN ST, WATERTOWN, MA 02472-2359
(617) 553-2501
Mailing address
309 MAIN ST, WATERTOWN, MA 02472-2359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI1000053
MA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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