Individual
KAYLA REVALLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 VALENTINE ST, 6, CAMBRIDGE, MA 02139-4073
(617) 875-6571
Mailing address
21 VALENTINE ST, 6, CAMBRIDGE, MA 02139-4073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S16482656
MA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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