Individual
MISS KIERA E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
222 HIGHLAND AVE, APT 1, SOMERVILLE, MA 02143-1423
(617) 835-7678
Mailing address
222 HIGHLAND AVE, APT 1, SOMERVILLE, MA 02143-1423
(617) 835-7678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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