Individual
CARMEN PARRA-CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 HIGH ST, HOLYOKE, MA 01040-6513
(413) 322-7380
Mailing address
255 HIGH ST, HOLYOKE, MA 01040-6513
(413) 322-7380
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/10/2014
Last updated
09/10/2014
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