Individual
HANIEH YAGHOOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 DUNBOY ST, BRIGHTON, MA 02135
(505) 688-6157
Mailing address
62 DUNBOY ST, BRIGHTON, MA 02135-1735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5240
MA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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