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Individual

DR. DAEDRE L BOTELHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
651 ORCHARD ST, SUITE 206, NEW BEDFORD, MA 02744-1008
(508) 991-8400
(508) 991-8788
Mailing address
651 ORCHARD ST, SUITE 206, NEW BEDFORD, MA 02744-1008
(508) 991-8400
(508) 991-8788

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2462
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1613839
MA
Enumeration date
10/12/2006
Last updated
07/08/2007
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