Individual
BELLALIZ TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MERRIMACK ST STE 355, LAWRENCE, MA 01843-1740
(978) 989-3022
Mailing address
360 MERRIMACK ST STE 355, LAWRENCE, MA 01843-1740
(978) 989-3022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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