Individual
THERESA MARIE VELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4199 WASHINGTON ST, ROSLINDALE, MA 02131
(617) 323-4440
Mailing address
4199 WASHINGTON ST, ROSLINDALE, MA 02131-1733
(617) 323-4440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7192
MA
Other
Enumeration date
08/19/2019
Last updated
12/06/2024
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