Individual
MRS. TARA CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 W CHAMBERS ST, PHOENIX, AZ 85041-7403
(602) 488-6117
Mailing address
3334 W CHAMBERS ST, PHOENIX, AZ 85041-7403
(602) 488-6117
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
180019
AZ
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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