Individual
MARIE SONIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA, MD
Contact information
Practice address
31 GUILD RD, BROCKTON, MA 02302-3224
(774) 296-8859
Mailing address
31 GUILD RD, BROCKTON, MA 02302-3224
(774) 296-8859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA622
PR
Other
Enumeration date
01/28/2020
Last updated
02/27/2025
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