Individual
JENNIFER M AVILES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 919-7875
Mailing address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 919-7875
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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