Individual
TARA MARIE PERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6989
(239) 338-2613
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6989
(239) 338-2613
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN9307140
FL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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