Individual
CHRIS MAHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(978) 274-9259
Mailing address
4 BUTTERFIELD LN, WESTFORD, MA 01886-4057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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