Individual
ANGELINA ALEKSEEVNA MITIANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
89 E DEDHAM ST APT 913, BOSTON, MA 02118-3560
(305) 440-8694
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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