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Annjalica Fernandes
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1326633801

Annjalica Fernandes is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Annjalica Fernandes practices in Brockton, MA. The NPI Number for Annjalica Fernandes is 1326633801 and holds a License No. (Massachusetts).

The current practice location address for Annjalica Fernandes is 25 Keri Anne Dr, Brockton, MA and can be reached out via phone at 774-240-1167.

Location: 25 Keri Anne Dr, Brockton, MA, 02302-4179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326633801
Provider Name
Annjalica Fernandes
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 Keri Anne Dr, Brockton, MA, 02302-4179
Phone Number
774-240-1167
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 Keri Anne Dr
City
Brockton
State
Massachusetts
Zip
02302-4179
Phone Number
774-240-1167
Fax Number
person
Provider Business Mailing Address Details
Address
25 Keri Anne Dr
City
Brockton
State
Massachusetts
Zip
02302-4179
Phone Number
774-240-1167
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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