Doctor Name: | MRS. YELENA VOLNOVA |
NPI Number: | 1184864670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6080 |
Business Practice Address: | 300 Providence Hwy Dedham, MA - 020261804 |
Business Phone Number: | 7813295120 |
Business Fax Number: | 7813260453 |
Mailing Address: | 300 Providence Hwy, DEDHAM |
State: | MA |
Postal Code: | 020261804 |
Phone Number: | 7813295120 |
Fax Number: | 7813260453 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 6080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |