Individual
MISS TARA O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 599-0473
Mailing address
37 BELMONT ST, BROCKTON, MA 02301-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283106
MA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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