Individual
THAIS RIVERA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 CENTER ST, CHICOPEE, MA 01013-1611
(413) 540-1234
Mailing address
PO BOX 791, HOLYOKE, MA 01041-0791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2346668
MA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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