Individual
TARA ANNE TOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2043 N 64TH DR, PHOENIX, AZ 85035-3424
(623) 691-5515
(623) 691-5520
Mailing address
2043 N 64TH DR, PHOENIX, AZ 85035-3424
(623) 691-5515
(623) 691-5520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP051042
AZ
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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