Individual
ETIENNA TAZOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 ANDREWS ST, LOWELL, MA 01852-4630
(978) 798-4061
Mailing address
136 ANDREWS ST, LOWELL, MA 01852-4630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2372259
MD
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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