Individual
SHIRNETT KHORRAN-GAJARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 PEARL ST, BROCKTON, MA 02301-2825
(508) 580-2211
Mailing address
529 PEARL ST, BROCKTON, MA 02301-2825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2349747
MA
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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