Individual
MICHELLE REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Mailing address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6605
MA
Other
Enumeration date
06/19/2018
Last updated
06/02/2020
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