Individual
JUNIOR I ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 ORCHARD AVE, BROCKTON, MA 02301-2301
(774) 398-9270
Mailing address
39 ORCHARD AVE, BROCKTON, MA 02301-2301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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