Individual
BIANCA HERMENEGILDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BELMONT ST, BROCKTON, MA 02301-5550
(857) 275-3535
Mailing address
1005 BELMONT ST, BROCKTON, MA 02301-5550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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