Individual
KELLY NOGUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 FRONT ST, FALL RIVER, MA 02721-4302
(508) 676-1307
Mailing address
343 BRAYTON AVE, FALL RIVER, MA 02721-3615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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