Individual
MS. AMANDA KATHERINE PIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
691 COTTAGE ST, NEW BEDFORD, MA 02740-5546
(508) 991-3164
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S74532706
MA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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