Individual
ANDREA TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2492 DAILY RD, COLUMBUS, OH 43232
(614) 738-0563
Mailing address
2492 DAILY RD, COLUMBUS, OH 43232-4527
(614) 738-0563
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN153115-M-IV
OH
Other
Enumeration date
01/16/2015
Last updated
02/06/2015
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