Individual
ANTONINA DIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 MAPLE ST APT B2, SPRINGFIELD, MA 01105-1959
(413) 205-7957
Mailing address
303 MAPLE ST APT B2, SPRINGFIELD, MA 01105-1959
(413) 205-7957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234492
MA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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