Individual
VANESSA MASSILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 877-2376
Mailing address
1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118-2999
(617) 877-2376
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW01105
MA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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