Individual
JOHANNA VALERIE-ELISABETH MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2119
Mailing address
PO BOX 6260 230 MAPLE ST, HOLYOKE, MA 01041-6260
(413) 420-2119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239094
MA
Other
Enumeration date
08/10/2007
Last updated
07/02/2009
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