ALEXIS SHAWNTEL VIVIEN

BOSTON, MA
NPI1699593459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
ALEXIS SHAWNTEL VIVIEN
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 704-490-1039
Mailing Address
ALEXIS SHAWNTEL VIVIEN
665 WASHINGTON ST UNIT 2115
BOSTON, MA 02111-1653
Phone number: 704-490-1039