Individual
JULIE YESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
30 BELGRADE AVE, ROSLINDALE, MA 02131-3006
(617) 363-1717
(617) 323-8776
Mailing address
131 HILLCREST AVE, LONGMEADOW, MA 01106-1012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406538
—
MA
Enumeration date
01/08/2021
Last updated
01/08/2021
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