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Ms. Susan Capitola Anderson, MED
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1144536350

Susan Capitola Anderson is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Susan Capitola Anderson practices in Brockton, MA and has the professional credentials of MED. The NPI Number for Susan Capitola Anderson is 1144536350 and holds a License No. (Massachusetts).

The current practice location address for Susan Capitola Anderson is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-580-4691.

Location: 1115 W Chestnut St, Brockton, MA, 02301-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144536350
Provider Name
Susan Capitola Anderson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, Brockton, MA, 02301-7501
Phone Number
508-580-4691
Fax Number
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-580-4691
Fax Number
person
Provider Business Mailing Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-580-4691
Fax Number
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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