Individual
SHASTA MAY MONTANA BONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WEST AVE, GREAT BARRINGTON, MA 01230-1811
(413) 528-0298
(413) 528-0295
Mailing address
PO BOX 614, STOCKBRIDGE, MA 01262-0614
(413) 441-1941
(413) 528-0295
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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