Amodhya Samarakoon
Amodhya Samarakoon is a Student in an Organized Health Care Education/Training Program in South Weymouth, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
55 Fogg RdSouth Weymouth, MA 02190-2455
Phone: (781) 624-8000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1871321653 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 23, 2024 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
| Mailing address | 1 Nassau St Apt 413, Boston, MA 02111-1541 |
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55 Fogg Rd, South Weymouth, MA 02190-2432 · (781) 624-8000
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55 Fogg Rd, South Weymouth, MA 02190-2432 · (781) 624-8000