Individual
CARLIE MANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 AMERICAN LEGION DR, NORTH ADAMS, MA 01247-3942
(413) 822-5469
Mailing address
124 AMERICAN LEGION DR, NORTH ADAMS, MA 01247-3942
(413) 822-5469
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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