Individual
MARA JEANNE GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 VINAL ST APT 1, BRIGHTON, MA 02135-7633
(508) 510-9680
Mailing address
8 VINAL ST APT 1, BRIGHTON, MA 02135-7633
(508) 510-9680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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