Individual
CYNTHIA J AGUDOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 SPRING ST, BROCKTON, MA 02301-3632
(774) 281-3646
Mailing address
409 SPRING ST, BROCKTON, MA 02301-3632
(774) 281-3646
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023101879
MA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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