Individual
JACOB STEVEN DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 ACUSHNET AVE, NEW BEDFORD, MA 02746-2018
(508) 984-5402
Mailing address
120 CLARA ST, NEW BEDFORD, MA 02744-2248
(774) 992-6948
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PI168146
MA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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