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Tatyana Ivanova
NPI 1801528955 · on the registry since 2022 · sole proprietor
Practice
- Address
- 47 Wheeler Cir Apt 148
Stoughton, MA 02072 - Phone
- (617) 671-9992
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts