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Individual

FUENSANTA ASCENSION VERA-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D., PH.D.

Contact information

Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 427-4566
Mailing address
55 DIMOCK ST, SUITE 2A, ROXBURY, MA 02119-1029
(617) 262-2020
(617) 236-6323

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4838
MA

Other

Enumeration date
11/05/2013
Last updated
03/10/2020
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