Individual provider · Type 1 NPI

Mary Michael Midura, BSED CEIS

Specialist · Fall River, MA

NPI number 1487839049 Active

Practice location

636 Rock St
Fall River, MA 02720

Mailing address

1040 Eastern Ave
Fall River, MA 02720

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487839049

Mary Michael Midura, BSED CEIS's National Provider Identifier is 1487839049, issued on Jan 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fall River, MA. The record was last updated on Jan 2, 2008.