Individual
SASHA ALEXANDRA BODNARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 PLEASANT ST, WAKEFIELD, MA 01880-1809
(781) 854-2126
Mailing address
75 PLEASANT ST, WAKEFIELD, MA 01880-1809
(781) 854-2126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6620
MA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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