NPI 1053989343

Tayquan Nicholas Pomare-Taylor

Practitioner Counselor Wakefield, MA

Practice location

Address: 607 North Ave # 15, Wakefield, MA 01880-1322
Phone: (781) 879-2090

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1053989343
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2021
Record last updated: 14 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.