Individual
JACQUELINE GALVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 PROCTOR AVE # 3, REVERE, MA 02151
(617) 858-7577
Mailing address
252 PROCTOR AVE # 3, REVERE, MA 02151-4923
(617) 858-7577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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