Andre Iray Victorian
NPI #1083451439 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1083451439
- Entity Type
- Individual
- Name
- Andre Iray Victorian
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 12, 2024
- Last Updated
- Jul 12, 2024
Practice Location
- Address
- 300 BATTLES ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-2231
- Phone
- (508) 587-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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