Individual
CAROLINE ROSE BANEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 CALUMET ST APT 1, BOSTON, MA 02120-3594
(860) 819-6946
Mailing address
158 CALUMET ST APT 1, BOSTON, MA 02120-3594
(860) 819-6946
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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