Individual
VANESSA I. VILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
15 CRICKLEWOOD DR, LEICESTER, MA 01524-1603
(732) 439-0256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9511
MA
Other
Enumeration date
04/18/2023
Last updated
01/16/2024
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