Individual
MISS IDALINA MONTEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 CROSS ST, BROCKTON, MA 02301-2116
(508) 510-2940
Mailing address
28 LAUDER AVE, PAWTUCKET, RI 02860-6218
(508) 510-2940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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