Organization
PHOCARLUX; INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN HARMEL JEROME (DIRECTOR)
(508) 718-8785
Entity
Organization
Contact information
Practice address
385 PLEASANT ST, BROCKTON, MA 02301-3237
(508) 718-8785
Mailing address
385 PLEASANT ST, BROCKTON, MA 02301-3237
(508) 718-8785
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
LV62992
MA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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