Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 8348 | MA |
NPI | 1497926745 |
---|---|
Provider Name | Mrs. Celia D Wendt |
First Address | Framingham, MA 01702-8707 |
Second Address | Cohasset, MA 02025-1829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 14/03/2008 |