Individual
AMANDA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149
(617) 394-7182
Mailing address
103 GARLAND ST, EVERETT, MA 02149
(617) 394-7182
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3994
MA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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