MANUEL ALFONSO DAZA

PROVIDENCE, RI
NPI1811607633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-12-02
Last Update Date2022-12-02
Business Address
MANUEL ALFONSO DAZA MHA
134 THURBERS AVE STE 212
PROVIDENCE, RI 02905-4721
Phone number: 401-383-5051
Mailing Address
MANUEL ALFONSO DAZA MHA
1 MANSFIELD AVE APT B101
MANSFIELD, MA 02048-1995
Phone number: 520-612-9551
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