Individual
SALLY IMBIMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
108 N MAIN ST, SUNDERLAND, MA 01375-9502
(413) 366-5871
Mailing address
91 NORTH RD, WESTHAMPTON, MA 01027-9691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/07/2023
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