Individual
MRS. JILAINE ALYSE MARDER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 617-0004
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 617-0004
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2277122
MA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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