Individual
AMODHYA SAMARAKOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
1 NASSAU ST APT 413, BOSTON, MA 02111-1541
(612) 597-5413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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