Provider Licensure Information (CA, MA, RI, VT)

StateNameLicense No.TypeDate
California - CAHiren ItaliaC-161530MD45016
California - CAMitchel StotlandA-165176MD45199
California - CAKerelos TawfeekA-173223MD45107
California - CAAnthony MirandaC-165064MD45199
California - CASuneer ChanderC-169763MD45535
California - CAAlysia OgburiaC-166898MD45260
Massachusetts - MAHiren Italia278376MD45170
Massachusetts - MAMitchell Stotland281631MD45444
Massachusetts - MASuneer Chander217010MD45383
Massachusetts - MAAlysia Ogburia284329MD45142
Rhode Island - RIHiren ItaliaMD16621MD45473
Rhode Island - RIMitchell StotlandMD16846MD45473
Rhode Island - RITarsha DardenMD14777MD45473
Vermont - VTHiren Italia042-0014329MD45626
Vermont - VTMitchell Stotland042-0014551MD45626
Vermont - VTRachel Mcleod101.0135867TELENP45107
Vermont - VTTarsha Darden420013018MD45626