Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERTILLE OCTAVIE MAVEGAM TANGO ASSOUMOU M
ActiveNutrition, Education · NORTHAMPTON, MA
Registration Details
- NPI Number
- 1336694066
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2016 (9.7014668946259 yrs)
- Last Updated
- Aug 23, 2016
Practice Information
- Address
-
22 ATWOOD DR FL 1NORTHAMPTON, MA, 010604267Browse MA providers · Browse ZIP 01060
- Phone
- 4135861601
- Fax
- 4139239304
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.