Provider Demographics
NPI:1528740271
Name:SHEMEMIAN, RAFFI GARABED (DIPL AC, MA OF AC)
Entity type:Individual
Prefix:
First Name:RAFFI
Middle Name:GARABED
Last Name:SHEMEMIAN
Suffix:
Gender:M
Credentials:DIPL AC, MA OF AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 KENISTON RD
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1813
Mailing Address - Country:US
Mailing Address - Phone:781-579-0091
Mailing Address - Fax:
Practice Address - Street 1:17 KENISTON RD
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1813
Practice Address - Country:US
Practice Address - Phone:781-579-0091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist