Individual
CARMELITA GAMBAN LUJARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 N MAIN ST, BROCKTON, MA 02301-1535
(202) 802-3265
Mailing address
1014 N MAIN ST, BROCKTON, MA 02301-1535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10996
MA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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