Individual
YULIA SANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 CENTRE ST, JAMAICA PLAIN, MA 02130-2555
(617) 983-4200
Mailing address
640 CENTRE ST, JAMAICA PLAIN, MA 02130-2555
(781) 983-4200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9061
MA
Other
Enumeration date
09/17/2021
Last updated
06/26/2023
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