Individual
KARILYN TARDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W BUSINESS 190, COPPERAS COVE, TX 76522-3849
(541) 287-0512
Mailing address
1101 W BUSINESS 190, COPPERAS COVE, TX 76522-3849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796120
TX
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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