Individual
NAISHA NOELIA TATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
19 HARVEST ST, LYNN, MA 01902-1122
(781) 309-2722
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT28789
MA
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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