Most Relevant Information
Provider Data
| NPI Number: | 1003693847 |
| Provider Name: | RACHAEL KIRI MILLER BAS |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2023 |
| Last Updated: | 09/14/2023 |
Provider Practice Location
1 FEDERAL ST BLDG 102
SPRINGFIELD
MA
011051199
Practice Location Phone/Fax
| Phone: | 4137379544 |
| Fax: |
Provider Mailing Location
1 FEDERAL ST BLDG 102
SPRINGFIELD
MA
011051199
Provider Mailing Phone/Fax
| Phone: | 4137379544 |
| Fax: |