Individual
GLORIA X DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
44 JACKSON ST, CANTON, MA 02021-2023
(617) 291-2533
(339) 502-9948
Mailing address
44 JACKSON ST, CANTON, MA 02021-2023
(617) 291-2533
(339) 502-9948
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225700000X
Massage Therapist
8612
MA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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