Individual
ASHLEY WYSHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 MAIN ST, TEWKSBURY, MA 01876-1821
(978) 808-9930
Mailing address
540 MAIN ST, TEWKSBURY, MA 01876-1821
(978) 808-9930
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3118
MA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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