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Ms. Theresa Mae Manning
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1902175565

Theresa Mae Manning is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Theresa Mae Manning practices in Brockton, MA. The NPI Number for Theresa Mae Manning is 1902175565 and holds a License No. (Massachusetts).

The current practice location address for Theresa Mae Manning is 1115 West Chestnut St, Brockton, MA and can be reached out via phone at 508-728-4813.

Location: 1115 West Chestnut St, Brockton, MA, 02301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902175565
Provider Name
Theresa Mae Manning
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 West Chestnut St, Brockton, MA, 02301
Phone Number
508-728-4813
Fax Number
Provider Enumeration Date
12/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 West Chestnut St
City
Brockton
State
Massachusetts
Zip
02301
Phone Number
508-728-4813
Fax Number
person
Provider Business Mailing Address Details
Address
1115 West Chestnut St
City
Brockton
State
Massachusetts
Zip
02301
Phone Number
508-728-4813
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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