Individual
TACARA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9495
(909) 421-9494
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9495
(909) 421-9494
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35851
CA
Other
Enumeration date
11/07/2012
Last updated
11/15/2012
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