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Individual

MRS. TARA LOAIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
91 MAIN ST, PATERSON, NJ 07505-1026
(973) 523-4000
(973) 689-3081
Mailing address
155 KINGSLAND ST, NUTLEY, NJ 07110-1215
(973) 661-2732

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00505400
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00505400
NJ

Other

Enumeration date
07/16/2014
Last updated
03/04/2015
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