Individual
TARINA M MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 PALMER ST, LOWELL, MA 01852-1834
(978) 970-1607
(978) 970-1115
Mailing address
45 PALMER ST, LOWELL, MA 01852-1834
(978) 970-1607
(978) 970-1115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1363
MA
Other
Enumeration date
06/04/2006
Last updated
01/14/2014
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