Individual
MS. ANNE GRENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-2278
Mailing address
1115 WEST CHESNUT ST, BROCKTON, MA 02301
(508) 521-2278
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/21/2011
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