Provider Demographics
NPI:1124309273
Name:ROJAS, VILMA JEANNETTE
Entity type:Individual
Prefix:
First Name:VILMA
Middle Name:JEANNETTE
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LYNN ST
Mailing Address - Street 2:#2
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3206
Mailing Address - Country:US
Mailing Address - Phone:617-455-1469
Mailing Address - Fax:
Practice Address - Street 1:20 LYNN ST
Practice Address - Street 2:#2
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3206
Practice Address - Country:US
Practice Address - Phone:617-455-1469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist