Individual
JAVIER GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 MAIN ST APT 1, SPENCER, MA 01562-2411
(508) 579-6857
Mailing address
3 MAIN ST APT 1, SPENCER, MA 01562-2411
(508) 579-6857
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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