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Individual

MRS. TAMARA HOMICIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP

Contact information

Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-4109
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
(857) 282-8224

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2264091
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2264091
MA

Other

Enumeration date
12/17/2012
Last updated
08/31/2024
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