Individual
TARINA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 WABASH CIR, SPARKS, NV 89434-8820
(775) 356-7434
Mailing address
2112 WABASH CIR, SPARKS, NV 89434-8820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2011
Last updated
11/05/2012
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