Individual
TARA DENISE TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2403 7TH CT, CLEWISTON, FL 33440-5518
(904) 303-7629
Mailing address
2403 7TH CT, CLEWISTON, FL 33440-5518
(904) 303-7629
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA414566
FL
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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