Individual
MRS. ALTHEA DEFOREST MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
40 BOBALA RD, HOLYOKE, MA 01040-9632
(413) 536-5473
Mailing address
35 AMHERST ST, SPRINGFIELD, MA 01109-3411
(413) 536-5473
(413) 532-8205
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
166613
MA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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