Individual
TARA WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 VALENTINE CT, SALISBURY, NC 28147-6557
(718) 650-1218
Mailing address
112 VALENTINE CT, SALISBURY, NC 28147-6557
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2025-13532-01
NC
Other
Enumeration date
05/31/2025
Last updated
06/07/2025
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