# ISADORA N ARIAS TAVAREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730891169
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | 350009077 | NY | Yes |

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 12/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6402676 | DOS ID | NY |