Individual
ANNA LIZA MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1933 MAIN ST, BROCKTON, MA 02301-7131
(508) 587-0235
Mailing address
53 KAREN DR, RANDOLPH, MA 02368-5518
(781) 963-8969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
107970
MA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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