Individual
RACHANA SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287414
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2018
Last updated
08/24/2021
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