Individual
TARA ANN DESOCIO-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(641) 828-5019
(641) 828-5066
Mailing address
409 N 3RD ST, KNOXVILLE, IA 50138-1704
(515) 419-6366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107801
IA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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