Virginia Sydness Harris CSB

NPI 1003176595 - Religious Nonmedical Practitioner - 374K00000X

NPI Details
NPI 1003176595
Gender Female
Enumeration Date 05/18/2012
Last Updated 05/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
40 GROVE ST
SUITE 150
WELLESLEY MA, 02482-7702, US
Phone (781) 235-9350
Fax (781) 235-9365
Business Location
40 GROVE ST
SUITE 150
WELLESLEY MA, 02482-7702, US
Phone (781) 235-9350
Fax (781) 235-9365
Toxanomy
Taxonomy Code 374K00000X
License State
License Number
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According to our database, Virginia Sydness Harris CSB NPI is 1003176595, taxonomy code is 374K00000X Virginia Sydness Harris CSB physically located at 40 Grove St, Wellesley MA, 02482-7702. NPI Number Virginia Sydness Harris CSB has the Individual type.

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1003176595 NPI number is provided on an as is basis without warranty of any kind. 1003176595 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Sydness Harris CSB are for informational purposes only.