Individual
KIMBERLY CENTEIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 BYRON AVE, BROCKTON, MA 02301-4201
(774) 444-0269
Mailing address
69 BYRON AVE, BROCKTON, MA 02301-4201
(774) 444-0269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2262475
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2262475
MA
Other
Enumeration date
07/16/2019
Last updated
11/30/2022
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