Stacy Marie Tavares
NPI #1619677200 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1619677200
- Entity Type
- Individual
- Name
- Stacy Marie Tavares
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 3, 2023
- Last Updated
- Mar 3, 2023
Practice Location
- Address
- 34 GIFFORD ST
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02744-2610
- Phone
- (508) 999-3126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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