Individual
THEA CABRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
848 CENTRAL ST, FRAMINGHAM, MA 01701-4815
(774) 999-0929
Mailing address
848 CENTRAL ST, FRAMINGHAM, MA 01701-4815
(774) 999-0929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
493638
MA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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