Individual
TANIA J MALARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003191
VA
152W00000X
Optometrist
3839
MN
152W00000X
Optometrist
3844-35
WI
152W00000X
Optometrist
Primary
OEG001871
PA
152W00000X
Optometrist
TPOP130
FL
Other
Enumeration date
01/12/2007
Last updated
03/06/2023
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