Individual
MEGAN ANN TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 PROSPECT ST, NORWOOD, MA 02062-1467
(781) 255-1817
Mailing address
48 HAROLD ST, TAUNTON, MA 02780-4362
(508) 942-5364
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
000000
MA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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