Individual
TARA FLUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
88 BRIANNE CIR, WINDSOR, CA 95492-8614
(707) 479-1021
Mailing address
88 BRIANNE CIR, WINDSOR, CA 95492-8614
(707) 479-1021
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
14441
CA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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