BRENT MEDEIROS

FALL RIVER, MA
NPI1598362311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MA  RN2293550)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: RI  APRN02417)
Enumeration Date2020-10-05
Last Update Date2020-10-19
Business Address
BRENT MEDEIROS
1030 PRESIDENT AVE RM 304
FALL RIVER, MA 02720-5923
Phone number: 508-235-6427
Mailing Address
BRENT MEDEIROS
226 BECKWITH ST
CRANSTON, RI 02910-1851
Phone number: