Individual
LUZ CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 EMERALD ST, MALDEN, MA 02148-6310
(857) 277-9476
Mailing address
239 EMERALD ST, MALDEN, MA 02148-6310
(857) 277-9476
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
S54383927
MA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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