Individual
MISS DANELLY MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BRIDGE ST, LOWELL, MA 01852-1268
(978) 453-5736
Mailing address
104 HARVARD ST, EVERETT, MA 02149-5048
(617) 970-8985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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