Individual
DANIEL FABIAN MESA-BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(201) 620-0285
Mailing address
19 FLORENCE ST APT 1F, WORCESTER, MA 01610-1364
(201) 620-0285
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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