Individual
BRENDA ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(617) 445-1123
Mailing address
302 EUSTIS ST, ROXBURY, MA 02119-3800
(617) 445-1123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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