Individual
MISS TARA D CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 W GUADALUPE RD APT 1211, GILBERT, AZ 85233-3023
(480) 299-7280
Mailing address
1333 W GUADALUPE RD APT 1211, GILBERT, AZ 85233-3023
(480) 299-7280
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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