Tashley Keisha Fonrose
NPI #1063221166 in Weymouth, Massachusetts
Provider Information
- NPI Number
- 1063221166
- Entity Type
- Individual
- Name
- Tashley Keisha Fonrose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Jan 3, 2025
- Last Updated
- Jan 3, 2025
Practice Location
- Address
- 80 OLD STONE WAY APT 307
- City
- Weymouth
- State
- Massachusetts
- ZIP Code
- 02189-2539
- Phone
- (857) 544-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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