Individual
TEAGAN DANIELLE TRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 JUDIQUE RD, TEWKSBURY, MA 01876-1380
(978) 944-8579
Mailing address
111 JUDIQUE RD, TEWKSBURY, MA 01876-1380
(978) 944-8579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2373803
MA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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