Individual
MRS. ANNA TARASOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
74 WINDING BROOK DR, MATAWAN, NJ 07747-7009
(732) 407-8647
Mailing address
74 WINDING BROOK DR, MATAWAN, NJ 07747-7009
(732) 407-8647
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
9232
NJ
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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