Individual
ELENA TAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 GREEN ST, NORTHBOROUGH, MA 01532-1013
(508) 479-4126
Mailing address
289 GREEN ST, NORTHBOROUGH, MA 01532-1013
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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