Individual
MRS. TARA LYNN MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CD(DONA)
Contact information
Practice address
6205 S FAIRFAX CT, CENTENNIAL, CO 80121-3418
(720) 252-6631
Mailing address
6205 S FAIRFAX CT, CENTENNIAL, CO 80121-3418
(720) 252-6631
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
0195484
CO
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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