NPI Profile for ANTONE D TAVEIRA in EAST FREETOWN, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Licensed Vocational Nurse |
164X00000X | |||
Rehabilitation Counselor |
225C00000X |
| NPI Number | 1932308210 |
|
| Status | Active | |
| Credentials | MA | |
| Entity | Individual | |
| Enumeration date | 07/16/2007 | |
| Last updated | 07/16/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANTONE D TAVEIRA
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