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Individual

BRENDA RUTH TEKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
45 VERA DR, BRIDGEWATER, MA 02324-3149
(508) 697-0819
Mailing address
45 VERA DR, BRIDGEWATER, MA 02324-3149
(508) 697-0819

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173800
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701416
MASSHEALTH PROVIDER NUMBE
MA
Enumeration date
03/12/2007
Last updated
07/08/2007
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