Individual
TARA ELYSE SOLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1751 NW 107TH AVE, PEMBROKE PINES, FL 33026-2805
(954) 756-2339
Mailing address
1751 NW 107TH AVE, PEMBROKE PINES, FL 33026-2805
(954) 756-2339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9356626
FL
164W00000X
Licensed Practical Nurse
PN5190753
FL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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