Individual
DR. KENDALL LORAINE HARER MAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
116R HIGHLAND AVE FL 2, SALEM, MA 01970-2723
(978) 745-0654
Mailing address
116R HIGHLAND AVE FL 2, SALEM, MA 01970-2723
(978) 745-0654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4800
MA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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