Search › Massachusetts › 171M00000X
Kayla Revallion
NPI 1619351590 · on the registry since 2015 · sole proprietor
Practice
- Address
- 21 Valentine St
6
Cambridge, MA 02139 - Phone
- (617) 875-6571
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-10
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