Individual
CLOVIS PADILHA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC.AC
Contact information
Practice address
121 LINCOLN ST, WORCESTER, MA 01605
(774) 232-6928
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(774) 232-6928
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
868337
MA
171100000X
Acupuncturist
Primary
255748
MA
Other
Enumeration date
04/01/2013
Last updated
12/02/2018
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