Individual
TARA FACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2285
Mailing address
12603 LIMESTONE RD SE, CUMBERLAND, MD 21502-8704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R252916
MD
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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