Individual
MRS. TARA ROSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 SHARON WAY, YONKERS, NY 10710-4203
(914) 423-5429
Mailing address
15 SHARON WAY, YONKERS, NY 10710-4203
(914) 423-5429
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
599062-1
NY
Other
Enumeration date
04/05/2011
Last updated
02/04/2015
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