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Individual

TARA E SEERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16105 SAND CANYON AVE STE 230, IRVINE, CA 92618-3780
(949) 764-5347
(949) 557-0221
Mailing address
16105 SAND CANYON AVE STE 230, IRVINE, CA 92618-3780
(949) 764-5347

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036118723
IL
390200000X
Student in an Organized Health Care Education/Training Program
036118723
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036118723
IL
Enumeration date
06/20/2007
Last updated
05/18/2022
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