Individual
SHANQUITA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
682 N MAIN ST, BROCKTON, MA 02301-2576
(857) 275-3510
Mailing address
682 N MAIN ST, BROCKTON, MA 02301-2576
(857) 275-3510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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