Individual
ELISA WOANTING TANG ASANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1025 CENTRAL ST, STOUGHTON, MA 02072-4401
(781) 341-6114
Mailing address
28 LYMAN RD, MILTON, MA 02186-4649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2276869
MA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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