Individual
SHANE CERVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 ALMON AVE, WEST SPRINGFIELD, MA 01089-2908
(413) 328-5137
Mailing address
102 ALMON AVE, WEST SPRINGFIELD, MA 01089-2908
(413) 328-5137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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