MRS. Mary Ellen Distasio is a student in an organized health care education training program in Quincy, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MRS. Mary Ellen Distasio NPI is 1659563179. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
500 VICTORY RD
QUINCY, MA
ZIP 02171-139
Phone: (617) 847-1950
The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/1/2016.