Jaime Maldonado

NPI 1336294461 - Counselor - 101YA0400X

NPI Details
NPI 1336294461
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2155 MAIN STREET
SPRINGFIELD MA, 01104, US
Phone (413) 736-0395
Fax (413) 734-1651
Business Location
147 NORMAN STREET
WEST SPRINGFIELD MA, 01105, US
Phone (413) 788-0929
Fax (413) 732-5362
Toxanomy
Taxonomy Code 101YA0400X
License State Massachusetts
License Number 1698
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According to our database, Mr. Jaime Maldonado NPI is 1336294461, taxonomy code is 101YA0400X and license number is 1698, license state is located at Massachusetts. Jaime Maldonado physically located at 2155 Main Street, Springfield MA, 01104. NPI Number Jaime Maldonado has the Individual type.

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1336294461 NPI number is provided on an as is basis without warranty of any kind. 1336294461 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Maldonado are for informational purposes only.