Individual
MS. EVANGELINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 LINCOLN ST STE 200, WAKEFIELD, MA 01880-3033
(781) 246-8811
Mailing address
PO BOX 1404, WAKEFIELD, MA 01880-5404
(781) 246-8811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
330236-00
MA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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