Individual
RICARDO AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 BEECH ST, HOLYOKE, MA 01040-3968
(413) 540-1160
Mailing address
170 E HADLEY RD APT 42, AMHERST, MA 01002-3197
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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