Individual
MRS. ALYSSA ANN NAZARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
508 OAK ST, UNIT 8, BROCKTON, MA 02301-1362
(617) 953-6095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
03/31/2011
Last updated
07/28/2011
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