Individual
JUSTINE NICOLE YEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
480 MAPLE ST, DANVERS, MA 01923-4065
(978) 304-8451
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117047A
—
MA
Enumeration date
07/17/2016
Last updated
12/27/2023
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