Individual
TARA LYNN MOUNSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-2847
(617) 754-5655
Mailing address
98 SPRING LN, CANTON, MA 02021-1715
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
MM0648660
MA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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