Individual
ASHLEY DAKOTA GENANNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
574 MAIN ST, SOUTH WEYMOUTH, MA 02190-1818
(781) 331-2533
Mailing address
574 MAIN ST, SOUTH WEYMOUTH, MA 02190-1818
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
346
MA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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