Individual provider · Type 1 NPI

Keri Ann Levesque, BS CEIS MASS TEACHER

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

NPI number 1457418709 Active

Practice location

1115 West Chestnut St
Brockton, MA 02301

Fax (508) 427-5361

Mailing address

110 Dean St, Unit 60
Taunton, MA 02780

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 1457418709

Keri Ann Levesque, BS CEIS MASS TEACHER's National Provider Identifier is 1457418709, issued on Jan 3, 2007. 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 Jul 8, 2007.