Individual
MRS. TARA WITHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCD, CCBE
Contact information
Practice address
181 BROOKSIDE TER W, TONAWANDA, NY 14150-5932
(716) 310-3926
Mailing address
181 BROOKSIDE TER W, TONAWANDA, NY 14150-5932
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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