Individual
ERIKA TAVAREZ
Active
Individual
ERIKA TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMF
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C53846
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C53846
THE BOARD OF CERTIFICATION
—
Enumeration date
01/10/2023
Last updated
01/10/2023
Update your record
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