Mary Ellen Distasio Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Quincy, MA
- NPI
- 1659563179
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-08-17
- Last updated
- 2016-08-01
Practice location
500 Victory Rd
Quincy, MA 02171-3139
(617) 847-1950