Individual provider · Type 1 NPI

Bonnie Marie McMahan

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

NPI number 1497902076 Active

Practice location

37 Bellmont Street
Brockton, MA 02301

Call (508) 580-4691 Map

Mailing address

109 Fairhaven Avenue
Swansea, MA 02777

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS21863911 (MA)

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 1497902076

Bonnie Marie McMahan's National Provider Identifier is 1497902076, issued on Aug 26, 2008. 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 Aug 26, 2008.