Individual
MARIA MARCELINA DAVEIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
368 PEARL ST, BROCKTON, MA 02301-2826
(508) 345-8261
Mailing address
368 PEARL ST, BROCKTON, MA 02301-2826
(508) 345-8261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89489
MA
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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