Individual
ASHLEY ELIZABETH TAGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WEST CHESTNUT ST, BROCKTON, MA 02301
(508) 559-0473
Mailing address
23 TILDEN COMMONS DRIVE, QUINCY, MA 02171
(781) 789-6375
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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