Individual
ANITA YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SCHOOL ST, BOSTON, MA 02108-5113
(617) 372-8156
Mailing address
20 CHILD ST APT 1102, CAMBRIDGE, MA 02141-1784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH997265
MA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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