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Individual

ALYSSA DIGIOVANNA BRAVIN COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5710
Mailing address
335 S OAK DR, WOODLAND HILLS, UT 84653-2036
(617) 285-2211

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
PA101080
MA
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
05/08/2023
Last updated
10/17/2024
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