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Individual

VIANNY DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
490 PAGE BLVD, SPRINGFIELD, MA 01104-3026
(413) 349-5033
Mailing address
617 NEWBURY ST, SPRINGFIELD, MA 01104-1110
(413) 519-2302

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MA

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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