Individual
CLARA DEFONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1695 MAIN ST FL 400, SPRINGFIELD, MA 01103-1063
(413) 739-5572
Mailing address
80 BARRETT ST APT 5, NORTHAMPTON, MA 01060-1722
(503) 550-3984
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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