Individual
DOLORES BELISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 BEDFORD ST, LEXINGTON, MA 02420-4436
(339) 368-4467
Mailing address
186 BEDFORD ST, LEXINGTON, MA 02420-4436
(339) 368-4467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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