Individual
MIKE ELLIOT GOVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
106 SE MAIN ST, DOUGLAS, MA 01516-2445
(413) 426-7571
Mailing address
106 SE MAIN ST, DOUGLAS, MA 01516-2445
(413) 426-7571
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
2970
MA
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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