Individual
OTHMANE TRAIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9233 AVALON DR, WEYMOUTH, MA 02188-4638
(617) 583-3967
Mailing address
9233 AVALON DR, WEYMOUTH, MA 02188-4638
(617) 583-3967
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S92043431
MA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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