Individual
MILAGROS SOLEDAD MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CANTON ST STE 4, STOUGHTON, MA 02072-2867
(508) 685-1920
Mailing address
91 FOREST AVE, BROCKTON, MA 02301-5911
(508) 685-1920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
786391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40000169700
—
MA
Enumeration date
11/23/2020
Last updated
11/23/2020
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