Individual
MARIO FERNANDO JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(760) 567-1300
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(760) 567-1300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6120
MA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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