Individual
STEPHANIE GOMES VAN WINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
22 SEAVIEW DR, PLYMOUTH, MA 02360-1263
(508) 224-4695
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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