Individual
AIXA L. CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 846-0445
(413) 847-0447
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 736-8329
(413) 732-5362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576 (SA)
—
MA
01
—
M18463
BLUE CROSS
MA
Enumeration date
11/22/2011
Last updated
11/22/2011
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