Individual
TARA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 725-9453
Mailing address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 725-9453
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382012
NY
Other
Enumeration date
10/30/2008
Last updated
03/07/2025
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