Individual
BIANCA STARSHAWNA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 WATERTOWN ST STE 2D, WATERTOWN, MA 02472-2500
(617) 916-5069
Mailing address
1992 COMMONWEALTH AVE, BRIGHTON, MA 02135-5707
(774) 328-5197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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