Individual
TARA SHENAI LAURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
4701 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7169
(480) 831-8727
(480) 272-8708
Mailing address
PO BOX 6808, CHANDLER, AZ 85246-6808
(623) 218-9488
(480) 781-0701
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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