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Maya Olans Waldor

Student in an Organized Health Care Education/Training Program in South Weymouth, MA. Individual provider (NPI-1).

NPI number1972487635
StatusActive
Last updated in NPPESAug 4, 2025

Details

NPI
1972487635
Entity type
Individual (NPI-1)
Name
Maya Olans Waldor
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2025
Certification date
Aug 4, 2025
Last updated
Aug 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

55 Fogg Rd
South Weymouth, MA 02190-2432

Phone 781-624-8201

Mailing address

42 Nobscot Rd
Newton, MA 02459-1323

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