Individual
MS. STEPHANNY THARA COMAHIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
8404 54TH AVE, ELMHURST, NY 11373-4331
(213) 718-5296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
673132
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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