Organization
WAVE MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A LITKE NP (OWNER)
(339) 777-5554
Entity
Organization
Contact information
Practice address
941 GREAT PLAIN AVE, NEEDHAM, MA 02492-3031
(339) 777-5554
Mailing address
941 GREAT PLAIN AVE, NEEDHAM, MA 02492-3031
(339) 777-5554
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/09/2024
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