Individual
AMANDA A PAVAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DS
Contact information
Practice address
636 ROCK ST, FALL RIVER, MA 02720-3438
(508) 675-5778
(508) 675-9889
Mailing address
1362 MAIN ST, DIGHTON, MA 02715-1128
(508) 675-5778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
266
MA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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