Individual
DERRIELLE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CENTER ST, CHICOPEE, MA 01013-2680
(413) 437-9200
Mailing address
PO BOX 791, HOLYOKE, MA 01041-0791
(413) 540-1100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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