Individual
MS. TEANNA BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 825-9206
Mailing address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 825-9206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN192527
MA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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