Individual
D'MANI ANDRE VASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 SOUTHERN AVE, BOSTON, MA 02124-2012
(617) 708-0870
Mailing address
114 WINTHROP ST, BOSTON, MA 02119-4300
(857) 492-3641
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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