Individual
MRS. SAILAJA VISSAPRAGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 AUDUBON RD, WAKEFIELD, MA 01880-6249
(781) 213-3900
Mailing address
360 AUDUBON RD, WAKEFIELD, MA 01880-6249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27567
MA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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