Individual
MRS. BONNIE PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 LYMAN ST, HOLYOKE, MA 01040-4145
(413) 534-7354
(413) 322-9288
Mailing address
228 LYMAN ST, HOLYOKE, MA 01040-4145
(413) 534-7354
(413) 322-9288
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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