Individual
VIVIAN MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 ELDREDGE ST, NEWTON, MA 02458-2017
(617) 969-4925
Mailing address
64 ELDREDGE ST, NEWTON, MA 02458-2017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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