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Individual

MRS. RUTH TAVARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
701 SALEM ST, TEANECK, NJ 07666-5319
(917) 579-5766
Mailing address
701 SALEM ST, TEANECK, NJ 07666-5319
(917) 579-5766

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
26NR15822000
NY

Other

Enumeration date
08/22/2024
Last updated
08/22/2024
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