Individual
TAMARA HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19130 WARREN RD, RIVERSIDE, CA 92508-9406
(951) 465-5665
Mailing address
19130 WARREN RD, RIVERSIDE, CA 92508-9406
(951) 465-5665
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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