Individual
TANYA PEASLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5844
MA
Other
Enumeration date
09/22/2016
Last updated
03/22/2018
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