person
Mrs. Mary Ellen Distasio
Student in an Organized Health Care Education/Training Program in Quincy, Massachusetts
NPI 1659563179

Mary Ellen Distasio is a Student in an Organized Health Care Education/Training Program based in Quincy, MA. Mary Ellen Distasio practices in Quincy, MA. The NPI Number for Mary Ellen Distasio is 1659563179 and holds a License No. (Massachusetts).

The current practice location address for Mary Ellen Distasio is 500 Victory Rd, Quincy, MA and can be reached out via phone at 617-847-1950.

Location: 500 Victory Rd, Quincy, MA, 02171-3139
person
Provider Profile Details
NPI Number
1659563179
Provider Name
Mary Ellen Distasio
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Victory Rd, Quincy, MA, 02171-3139
Phone Number
617-847-1950
Fax Number
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Victory Rd
City
State
Zip
02171-3139
Phone Number
617-847-1950
Fax Number
person
Provider Business Mailing Address Details
Address
500 Victory Rd
City
State
Zip
02171-3139
Phone Number
617-847-1950
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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