Individual
PAMELA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 WESTGATE DR, BROCKTON, MA 02301-1816
(508) 586-4435
Mailing address
516 WESTGATE DR, BROCKTON, MA 02301-1816
(508) 586-4435
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4938
MA
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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