Individual
DANIELLE TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91699
MA
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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