Individual
PROSPER TARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12100 BLACK SWAN DR STE 201, LEWES, DE 19958-4991
(302) 644-3311
(302) 644-3300
Mailing address
33117 TURQUOISE LN UNIT 5103, REHOBOTH BEACH, DE 19971-7161
(267) 838-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
DE
Other
Enumeration date
12/04/2024
Last updated
12/06/2024
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