TANNER BLANK

Student in an Organized Health Care Education/Training Program

NPI: 1023859113Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training ProgramPrimary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Contact & Hours

Address: 588 LONGMEADOW ST
LONGMEADOW, MA 01106
Phone: (413) 565-1317

Location

Practice Location

588 LONGMEADOW ST, LONGMEADOW, MA

Quick Facts

NPI: 1023859113
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile