Individual
TARA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 COUNTY ROAD 7, IRONTON, OH 45638-1797
(740) 442-2139
Mailing address
205 COUNTY ROAD 7, IRONTON, OH 45638-1797
(740) 442-2139
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2886444
—
OH
Enumeration date
07/25/2016
Last updated
07/25/2016
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