Individual
MS. TANARA PEKAY HARRIS GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
43 COBURN ST, BROCKTON, MA 02301-2701
(781) 985-6848
Mailing address
43 COBURN ST, BROCKTON, MA 02301-2701
(781) 985-6848
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
259413
MA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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