Individual
TYREK ANTHONY KEY-RATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 N FRONT ST, NEW BEDFORD, MA 02740-7327
(508) 827-9765
Mailing address
132 WASHINGTON ST, NEW BEDFORD, MA 02740-3241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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