Individual
LUIS PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 BELMONT ST APT 2, WORCESTER, MA 01605-2835
(508) 962-4992
Mailing address
171 BELMONT ST APT 2, WORCESTER, MA 01605-2835
(508) 962-4992
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S80418043
MA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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