Individual
CHARMAINE ALICIA BUCHANAN-MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 BURKESIDE AVE, BROCKTON, MA 02301-1454
(508) 577-0524
Mailing address
33 BURKESIDE AVE, BROCKTON, MA 02301-1454
(508) 577-0524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN281554
MA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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