Individual
DANIELLE BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-4202
Mailing address
1226 SOMERSET AVE, DIGHTON, MA 02715-1231
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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