Individual
TARA MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 RESERVOIR RD NW, WASHINGTON, DC 20007-2111
(715) 937-3825
Mailing address
6608 S WEST SHORE BLVD APT 2130, TAMPA, FL 33616-1562
(715) 937-3825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1107265
WI
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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