Individual
DAISY TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(671) 591-4500
Mailing address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(671) 591-4500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN60430
MA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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