Individual
ALLICIA IMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
042.0017657
VT
Other
Enumeration date
04/04/2018
Last updated
07/15/2024
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