Individual
TARA TALLAKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10111 NORTH SILVER PALM DR, ESTERO, FL 33928-3477
(239) 218-6029
Mailing address
10111 NORTH SILVER PALM DR, ESTERO, FL 33928-3477
(239) 218-6029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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