Individual
MRS. DESIREE TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2341137
MA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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