Individual
MRS. TARA L GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
11531 WELLMAN DR, RIVERVIEW, FL 33578-3766
(813) 846-9700
Mailing address
11531 WELLMAN DR, RIVERVIEW, FL 33578-3766
(813) 846-9700
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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