Individual
DAYANA DUGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 583-4649
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
268108
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177267
CMSP/HS
MA
01
—
N/A
NEIGHBORHOOD HEALTH PLAN
MA
Enumeration date
08/08/2007
Last updated
06/11/2010
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