Individual
LAURA DECANDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(413) 796-7494
(413) 796-7498
Mailing address
PO BOX 983122, BOSTON, MA 02298-3122
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235813
MA
Other
Enumeration date
05/01/2007
Last updated
03/11/2011
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