Individual
JUSTINE FAZIO PAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1620 BEACON ST, BROOKLINE, MA 02446-2270
(617) 505-6742
(617) 505-6769
Mailing address
1620 BEACON ST, BROOKLINE, MA 02446-2270
(617) 505-6742
(617) 505-6769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3433
MA
Other
Enumeration date
08/26/2013
Last updated
07/30/2018
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