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Individual

MRS. JIE ROCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.T., CST

Contact information

Practice address
64 LIVERMORE RD, BELMONT, MA 02478-3843
(617) 489-6927
Mailing address
64 LIVERMORE RD, BELMONT, MA 02478-3843
(617) 489-6927

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NCMT#050146-22
MA

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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