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Anna Liza Madrigal
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1669600979

Anna Liza Madrigal is a Student in an Organized Health Care Education/Training Program based in Randolph, MA. Anna Liza Madrigal practices in Brockton, MA. The NPI Number for Anna Liza Madrigal is 1669600979 and holds a License No. 107970 (Massachusetts).

The current practice location address for Anna Liza Madrigal is 1933 Main St, Brockton, MA and can be reached out via phone at 508-587-0235.

Location: 1933 Main St, Brockton, MA, 02368-5518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669600979
Provider Name
Anna Liza Madrigal
Credential
Provider Entity Type
Individual
Gender
Female
Address
1933 Main St, Brockton, MA, 02368-5518
Phone Number
508-587-0235
Fax Number
Provider Enumeration Date
06/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1933 Main St
City
Brockton
State
Massachusetts
Zip
02301-7131
Phone Number
508-587-0235
Fax Number
person
Provider Business Mailing Address Details
Address
1933 Main St
City
Brockton
State
Massachusetts
Zip
02301-7131
Phone Number
508-587-0235
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.
107970 (Massachusetts)
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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