Individual
KEARA LAURA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 ADAMS PL STE 305, QUINCY, MA 02169-7456
(617) 302-4194
Mailing address
745 FOREST RD, GREENFIELD, NH 03047-4521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
01/06/2022
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