Individual
MISS ELLENA A DIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
(617) 971-3852
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 971-3768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333
PA
MA
Enumeration date
01/26/2007
Last updated
01/11/2016
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