Individual
TARA HANLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14701 NATIONAL HWY SW, CUMBERLAND, MD 21502-6573
(301) 687-0940
(301) 689-0948
Mailing address
405 WALNUT ST, WESTERNPORT, MD 21562-1221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP27667
MD
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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