Individual
MRS. TARA AVENA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3014 SMITHFIELD RD, PORTSMOUTH, VA 23702-1814
(757) 966-1093
Mailing address
3014 SMITHFIELD RD, PORTSMOUTH, VA 23702-1814
(757) 966-1093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001196630
VA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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