Individual
SYREETA NICOLE TARBORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(215) 960-1171
Mailing address
16703 GOVERNOR BRIDGE RD APT 304C, BOWIE, MD 20716-3679
(215) 960-1171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP54574
MD
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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