Individual
TARRANCE NATHANIEL KING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 AUDUBON RD APT 510, WEYMOUTH, MA 02188-0923
(617) 435-9896
Mailing address
35 AUDUBON RD APT 510, WEYMOUTH, MA 02188-4412
(617) 435-9896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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