Individual
SUSAN J AVEDISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MILL ST APT 2301, HANOVER, MA 02339-1727
(508) 509-7349
Mailing address
80 MILL ST APT 2301, HANOVER, MA 02339-1727
(508) 509-7349
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-305651
MA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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