Most Relevant Information
Provider Data
| NPI Number: | 1003499567 |
| Provider Name: | BELLALIZ TAVAREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2021 |
| Last Updated: | 05/03/2021 |
Provider Practice Location
360 MERRIMACK ST STE 355
LAWRENCE
MA
018431740
Practice Location Phone/Fax
| Phone: | 9789893022 |
| Fax: |
Provider Mailing Location
360 MERRIMACK ST STE 355
LAWRENCE
MA
018431740
Provider Mailing Phone/Fax
| Phone: | 9789893022 |
| Fax: |