Individual
DANA PETROSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2368090
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN2368090
MA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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