Individual
EDUAL INFANTE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
148 LINDEN ST STE 208, WELLESLEY, MA 02482-7916
(781) 239-0290
Mailing address
148 LINDEN ST STE 208, WELLESLEY, MA 02482-7916
(781) 239-0290
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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