Most Relevant Information
Provider Data
| NPI Number: | 1003590928 |
| Provider Name: | EUNNINDY DELLS SANON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
588 LONGMEADOW ST
LONGMEADOW
MA
011062212
Practice Location Phone/Fax
| Phone: | 6035562151 |
| Fax: |
Provider Mailing Location
588 LONGMEADOW ST
LONGMEADOW
MA
011062212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |