Individual
MRS. MARIYA I ELYAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RE
Contact information
Practice address
266 MAIN ST STE 3, MEDFIELD, MA 02052-2018
(774) 469-0988
Mailing address
10 CHICATABUT AVE, NORFOLK, MA 02056-1164
(774) 469-0988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2608
MA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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