Individual
TARA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4050 AVON RD, GENESEO, NY 14454-9721
(585) 243-3451
(585) 243-8087
Mailing address
8143 DUTCH STREET RD, MOUNT MORRIS, NY 14510-9564
(585) 506-6801
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
590905
NY
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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