Individual
TARA MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 CENTRAL ST, LOWELL, MA 01852-2609
(978) 805-2554
Mailing address
25 TALLY HO DR, DRACUT, MA 01826-2734
(508) 423-2442
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2264104
MA
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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