Angela Marie Fonseca LADCI CAS

NPI 1750668539 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1750668539
Gender Female
Enumeration Date 11/08/2011
Last Updated 11/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
62 WALDECK ST
DORCHESTER CENTER MA, 02124-1329, US
Phone (617) 265-2636
Fax
Business Location
618 TWIN LAKES DR
HALIFAX MA, 02338-2229, US
Phone (781) 294-4123
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Ms. Angela Marie Fonseca LADCI CAS NPI is 1750668539, taxonomy code is 324500000X Angela Marie Fonseca LADCI CAS physically located at 62 Waldeck St, Dorchester Center MA, 02124-1329. NPI Number Angela Marie Fonseca LADCI CAS has the Individual type.

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1750668539 NPI number is provided on an as is basis without warranty of any kind. 1750668539 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Marie Fonseca LADCI CAS are for informational purposes only.