Individual
JIA XING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GEORGE P HASSETT DR, MEDFORD, MA 02155-3258
(781) 393-4828
Mailing address
21 QUINT AVE, APT 2, ALLSTON, MA 02134-2519
(718) 304-6862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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