Provider Demographics
NPI:1770998403
Name:CERISIER, HELENA
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:CERISIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HAVERHILL ST
Mailing Address - Street 2:4W
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-3484
Mailing Address - Country:US
Mailing Address - Phone:781-351-6373
Mailing Address - Fax:
Practice Address - Street 1:54 HAVERHILL ST
Practice Address - Street 2:4W
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-3484
Practice Address - Country:US
Practice Address - Phone:781-351-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program