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Shantel Carrasco
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1144952177

Shantel Carrasco is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Shantel Carrasco practices in Brockton, MA. The NPI Number for Shantel Carrasco is 1144952177 and holds a License No. (Massachusetts).

The current practice location address for Shantel Carrasco is 500 Westgate Dr, Brockton, MA and can be reached out via phone at 508-690-6069.

Location: 500 Westgate Dr, Brockton, MA, 02301-1855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144952177
Provider Name
Shantel Carrasco
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Westgate Dr, Brockton, MA, 02301-1855
Phone Number
508-690-6069
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Westgate Dr
City
Brockton
State
Massachusetts
Zip
02301-1855
Phone Number
508-690-6069
Fax Number
person
Provider Business Mailing Address Details
Address
500 Westgate Dr
City
Brockton
State
Massachusetts
Zip
02301-1855
Phone Number
508-690-6069
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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