Individual
MS. TARREZZ B. SUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2153 MARGARET AVE, COLUMBUS, OH 43219-2650
(614) 975-7358
(614) 251-4416
Mailing address
2153 MARGARET AVE, COLUMBUS, OH 43219-2650
(614) 975-7358
(614) 251-4416
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404188
—
OH
Enumeration date
07/06/2006
Last updated
07/09/2007
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