Individual
MRS. TAMETHEA CHARISSE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91 EASTERN AVE STE 24, DEDHAM, MA 02026-4515
(781) 307-0939
(781) 307-0939
Mailing address
30 LADYSLIPPER LN, STOUGHTON, MA 02072-3094
(781) 307-0939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251440
MA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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