Individual
TINEVIMBO JARAVAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
277 E MOUNTAIN ST, WORCESTER, MA 01606-1207
(508) 852-2026
Mailing address
912 RIVER ST, STE 201, HYDE PARK, MA 02136-3715
(508) 852-2026
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
236949
MA
Other
Enumeration date
06/10/2008
Last updated
08/29/2016
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