Individual
EMILY GRACE SLOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 HIGHLAND AVE, MALDEN, MA 02148-6603
(781) 321-9039
Mailing address
1 PARK LN UNIT 1008, BOSTON, MA 02210-1845
(617) 869-5631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5213
MA
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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