Individual
TA-MARA ALISA MEUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 HOSPITAL DR STE 203, HOLYOKE, MA 01040-6643
(413) 536-5814
Mailing address
10 HOSPITAL DR STE 203, HOLYOKE, MA 01040-6643
(413) 536-5814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6176
MA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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