Individual
JOEL CLERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
599 PLEASANT ST, BROCKTON, MA 02301
(508) 894-1126
Mailing address
PO BOX 1911, BROCKTON, MA 02303-1911
(508) 326-0496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2296619
MA
Other
Enumeration date
07/16/2019
Last updated
11/01/2019
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