Active NPIIndividual providerSole proprietor

Gloria X Davila, MT

Community Health Worker in Canton, Massachusetts

NPI Number1891530028
Practice location
44 Jackson St, Canton, MA 02021-2023
Fax
339-502-9948
Last updated
June 28, 2024

Gloria X Davila is a Community Health Worker based in Canton, MA. Gloria X Davila practices in Canton, MA and has the professional credentials of MT. The NPI Number for Gloria X Davila is 1891530028 and holds a License No. 8612 (MA). The current practice location address for Gloria X Davila is 44 Jackson St, Canton, MA 02021-2023 and can be reached out via phone at 617-291-2533 and via fax at 339-502-9948.

Provider Profile Details

NPI Number
1891530028
Provider Name
Gloria X Davila
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
44 Jackson St, Canton, MA 02021-2023
Phone Number
617-291-2533
Fax Number
339-502-9948
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2024
Last Update Date
June 28, 2024
Certification Date
June 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Jackson St
Canton, MA 02021-2023
City
Canton
Zip
02021-2023
Phone Number
617-291-2533
Fax Number
339-502-9948
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
44 Jackson St
Canton, MA 02021-2023
City
Canton
State
MA
Zip
02021-2023
Phone Number
617-291-2533
Fax Number
339-502-9948

License Information

License Number (1)
8612
License State (1)
MA
Taxonomy (1)
Massage Therapist · 225700000X
Taxonomy (2)
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gloria X Davila, MT?

The NPI number of Gloria X Davila, MT is 1891530028. It was assigned on June 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Gloria X Davila, MT?

Gloria X Davila, MT is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in MA under license number 8612.

Where does Gloria X Davila, MT practice?

The practice location is 44 Jackson St, Canton, MA 02021-2023. The office can be reached at 617-291-2533 (phone) or 339-502-9948 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891530028 directly on the NPPES registry website.

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