Individual
KAILA BONAIUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1057
(413) 529-1764
Mailing address
179 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1057
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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