Individual
PHATANIA EXUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3000
(617) 782-6460
Mailing address
14 FORDHAM RD, ALLSTON, MA 02134-3000
(617) 782-6460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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