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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANNIE KONYEASO

Active Sole Proprietor

ANNIE KONYEASO is a Point of Service healthcare provider located in BROCKTON, Massachusetts. NPI 1902229727 is currently active in the NPPES registry. Verify at CMS.

Point of Service · BROCKTON, MA

Registration Details

NPI Number
1902229727
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2014 (12.569319933459 yrs)
Last Updated
Jan 30, 2014
Sole Proprietor
Yes

Practice Information

Address
462 COURT ST APT 2
BROCKTON, MA, 023022878
Browse MA providers · Browse ZIP 02302
Phone
8577194921
Fax
5088573200
Primary Specialty
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.