Individual
TARA OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
447 FLOYD CIR, HINESVILLE, GA 31313-5537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN138066
GA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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