Individual
EVELYN ESI ANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 739-1100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAN66601
MA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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