Individual
KATIA TSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
1493 CAMBRIDGE STREET, CAMBRIDGE, MA 02141-0007
(617) 620-4822
(617) 620-4822
Mailing address
PO BOX 555, SOMERVILLE, MA 02143-0007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
236420
MA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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