Individual
CHRISTINE MANTAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 COREY RD, SUITE205, BRIGHTON, MA 02135-8214
(617) 879-9992
Mailing address
21 WHITLOWE RD, WEST NEWTON, MA 02465-1041
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
237785
MA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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