Individual provider · Type 1 NPI

Anna Liza Madrigal

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

NPI number 1669600979 Active

Practice location

1933 Main St
Brockton, MA 02301-7131

Mailing address

53 Karen Dr
Randolph, MA 02368-5518

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X107970 (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 1669600979

Anna Liza Madrigal's National Provider Identifier is 1669600979, issued on Jun 24, 2009. 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 Jun 24, 2009.