George M Khairalla
Contractor, Vehicle Modifications in Lunenburg, MA. Individual provider (NPI-1).
NPI number1003672015
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1003672015
- Entity type
- Individual (NPI-1)
- Name
- George M Khairalla
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2024
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171WV0202X | Contractor, Vehicle Modifications | – | – | Yes |
Practice location
313 Reservoir RdLunenburg, MA 01462-1532
Phone 978-429-9931
Mailing address
313 Reservoir RdLunenburg, MA 01462-1532
Phone 978-429-9931
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