Individual
CLARA BANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2212
(800) 782-7284
Mailing address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2292
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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