Individual provider · Type 1 NPI

Annjalica Fernandes

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1326633801 Active

Practice location

25 Keri Anne Dr
Brockton, MA 02302-4179

Call (774) 240-1167 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326633801

Annjalica Fernandes's National Provider Identifier is 1326633801, issued on Mar 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Mar 5, 2021.