Individual
RADAME ANTONIO JUSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 LORETTA ST, SPRINGFIELD, MA 01118-1045
(413) 313-4038
Mailing address
6 LORETTA ST, SPRINGFIELD, MA 01118-1045
(413) 313-4038
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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