Individual
MR. JAIME ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 MAIN ST., RANDOLPH, MA 02368-4104
(781) 986-4800
Mailing address
344 CHATHAM WEST DR, BROCKTON, MA 02301-1318
(178) 198-6480
(781) 986-4800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
04/14/2015
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