Individual
COTEY BELLIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 WATER ST, APT 532, LEOMINSTER, MA 01453-3260
(978) 514-2202
Mailing address
PO BOX 117, LEOMINSTER, MA 01453-0117
(978) 514-2202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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