Individual
MRS. TARA LEE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25 HIGH STREET, FORT PLAIN, NY 13339-1365
(518) 993-4000
(518) 993-2897
Mailing address
25 HIGH STREET, FORT PLAIN, NY 13339-1365
(518) 993-4000
(518) 993-2897
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22-515765
NY
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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