Individual
EVANTZ FABRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 SOUTH ST, HUDSON, MA 01749-2205
(508) 290-1637
Mailing address
102 DAVIS RD, HOPKINTON, MA 01748-1176
(508) 215-6264
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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