Individual
ANASTACIA DINEEN WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6000
Mailing address
1410 N SCOTT ST APT 571, ARLINGTON, VA 22209-2966
(781) 454-5119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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