MISS Jennifer Alida Iwans

NPI #1124430632 in West Springfield, Massachusetts

Provider Information

NPI Number: 1124430632
Entity Type: Individual
Name: MISS Jennifer Alida Iwans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 2, 2014
Last Updated: Jun 2, 2014

Practice Location

Address: 55 CALVIN ST
City: West Springfield
State: Massachusetts
ZIP Code: 01089-2859
Phone: (413) 363-3004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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