Individual
MS. DEANNA TKACHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 PINEWOOD LN, GROVELAND, MA 01834-1621
(978) 828-2267
Mailing address
4 PINEWOOD LN, GROVELAND, MA 01834-1621
(978) 828-2267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260881
MA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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