Individual
LOLY MICHEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10P GILL ST, WOBURN, MA 01801-1721
(781) 932-2888
Mailing address
2 COLONIAL VILLAGE DR, APT 10, ARLINGTON, MA 02474-3924
(857) 756-2725
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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