Annie Konyeaso
Annie Konyeaso is a Point of Service in Brockton, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
462 Court St Apt 2Brockton, MA 02302-2878
Phone: (857) 719-4921
Fax: (508) 857-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X |
|---|
Record details
| NPI number | 1902229727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2014 |
| Last updated in NPPES | January 30, 2014 |
| Mailing address | 462 Court St Apt 2, Brockton, MA 02302-2878 |
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