Individual
TARA RENEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-2410
(215) 279-7772
Mailing address
2620 N 9TH ST, PHILADELPHIA, PA 19133-1918
(267) 456-5490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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