SearchMassachusetts101Y00000X

Javonte Edwards

NPI 1477271641 · on the registry since 2022 · sole proprietor

Practice

Address
110 Boston Street, Salem, Ma 01970
2
Lynn, MA 01902
Phone
(781) 990-9675

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts