Individual
YVES JUNIOR MONTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
64 BOYLSTON ST APT 3, WORCESTER, MA 01605-3553
(978) 398-8113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2368730
MA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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