Individual
TARE STANDBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 W 11TH ST, ERIE, PA 16501-1702
(814) 874-5300
Mailing address
908 E 23RD ST, ERIE, PA 16503-2238
(814) 844-2912
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
YM017839
PA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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