Individual
BRITTANY REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MAIN ST, BROCKTON, MA 02301-5340
(508) 583-3005
Mailing address
942 W CHESTNUT ST, BROCKTON, MA 02301-5567
(508) 586-3005
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2298868
MA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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