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Individual

BERTHNELL REBECCA ANTOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 MAYHEW ST, DORCHESTER, MA 02125-1628
(508) 505-4026
Mailing address
11 MAYHEW ST, DORCHESTER, MA 02125-1628
(508) 505-4026

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MA

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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