Individual
DR. ANA NECTARA TICLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1785
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
246371
MA
Other
Enumeration date
10/08/2008
Last updated
04/23/2013
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