Individual
MRS. CIARA MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
15 BOLTON PL, BROCKTON, MA 02301-5316
(508) 427-4393
(508) 427-4394
Mailing address
15 BOLTON PL, BROCKTON, MA 02301-5316
(508) 427-4393
(508) 427-4394
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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