INDIVIDUAL

WORCESTER, MA
NPI1134534563
Entity TypeOrganization
Authorized ContactEMILY ARCHAMBAULT
Intern
401-744-7167
Organization Subpart ?No
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2014-06-24
Last Update Date2014-06-24
Business Address
INDIVIDUAL
81 PLANTATION STREET
WORCESTER, MA 01604
Phone number: 185-596-8461
Mailing Address
INDIVIDUAL
81 PLANTATION SHEET
WORCESTER, MA 01604
Phone number:
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