NPI 1336804913

Janneliz Vega-Morell

Practitioner Driver Brockton, MA

Practice location

Address: 59 Keith Ave # 2, Brockton, MA 02301-6817
Phone: (857) 424-9316

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence S13104860 (MA)

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Registry record

NPI: 1336804913
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2021
Record last updated: 8 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.