Individual
LISA MARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1996 CENTRE ST, WEST ROXBURY, MA 02132-3329
(781) 979-0800
(781) 828-2526
Mailing address
35 KNOB HILL CIR, CANTON, MA 02021-1858
(781) 979-0800
(781) 828-2526
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
118
MA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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