Individual
CHRISTIAN M TARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
45 WALL ST, AUBURN, NY 13021-2436
(315) 253-5247
Mailing address
45 WALL ST, AUBURN, NY 13021-2436
(315) 253-5247
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275643-1
NY
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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