Individual
TOMOKO TAKANASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 BALDPATE HILL RD, NEWTON CENTER, MA 02459-2853
(617) 244-5878
(617) 244-8805
Mailing address
332 FRANKLIN ST APT 600, CAMBRIDGE, MA 02139-3298
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN264362
MA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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