Individual
TARA OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
203 W MAIN ST STE 100, COLLINSVILLE, IL 62234-3002
(314) 467-8555
Mailing address
203 W MAIN ST STE 100, COLLINSVILLE, IL 62234-3002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.334339
IL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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