Individual provider · Type 1 NPI

Mitzy Coreano

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

NPI number 1376084749 Active

Practice location

1115 W Chestnut St, Ste. 101
Brockton, MA 02301-7501

Call (508) 521-2287 Map

Fax (508) 580-5162

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 1376084749

Mitzy Coreano's National Provider Identifier is 1376084749, issued on Mar 17, 2017. 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 17, 2017.