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Lopez Duane Davis II
Student in an Organized Health Care Education/Training Program in Malden, Massachusetts
NPI 1609455989

Lopez Duane Davis II is a Student in an Organized Health Care Education/Training Program based in Malden, MA. Lopez Duane Davis II practices in Malden, MA. The NPI Number for Lopez Duane Davis II is 1609455989 and holds a License No. (Massachusetts).

The current practice location address for Lopez Duane Davis II is 195 Canal St, Malden, MA and can be reached out via phone at 781-338-0550 and via fax at 781-338-0150.

Location: 195 Canal St, Malden, MA, 02148-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609455989
Provider Name
Lopez Duane Davis II
Credential
Provider Entity Type
Individual
Gender
Male
Address
195 Canal St, Malden, MA, 02148-6701
Phone Number
781-338-0550
Fax Number
781-338-0150
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0550
Fax Number
781-338-0150
person
Provider Business Mailing Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0550
Fax Number
781-338-0150
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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