Antonio Andres Alfonzo Diaz
Counselor in Holyoke, MA. Individual provider (NPI-1).
NPI number1699308403
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1699308403
- Entity type
- Individual (NPI-1)
- Name
- Antonio Andres Alfonzo Diaz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
80 Commercial StHolyoke, MA 01040-4704
Phone 413-846-0445
Mailing address
80 Commercial StHolyoke, MA 01040-4704
Phone 413-846-0445
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