Individual
CHANTE FONSECA DA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1563 N MAIN ST, FALL RIVER, MA 02720-2983
(508) 324-1060
Mailing address
8 COLLEGE LN, DARTMOUTH, MA 02747-1022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RN2302644
MA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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