| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REBECCA VULIKH | 1861096737 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Rebecca Vulikh |
| Practice Office Address | 174 MAIN STREET PEABODY, MA US |
| Practice Office Telephone | 6176055184 |
| Mailing Address | 33 BENGAL LANE SALEM, MA 01970 US |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | PH239002 | MA |