Individual
EDMAR WASINGTON MATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
491 DUTTON ST, LOWELL, MA 01854-4289
(781) 730-2566
Mailing address
109 OAK ST # G20, NEWTON, MA 02464-1492
(617) 658-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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