Individual
MARY JO JO BROGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 282-3200
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 282-3200
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
162528
MA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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