Individual
MS. DIANNE PATRICIA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 BELMONT ST, BROCKTON, MA 02301-5523
(508) 586-1820
(508) 583-9510
Mailing address
15 WILLIAMS ST, NORTH EASTON, MA 02356-1530
(508) 586-1820
(508) 583-9510
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
84
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543172
—
MA
Enumeration date
06/29/2007
Last updated
07/09/2007
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