Individual
EMILIA TATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 PRESTBURY SQ STE 15, NEWARK, DE 19713-2608
(302) 525-6331
Mailing address
15 PRESTBURY SQ STE 15, NEWARK, DE 19713-2608
(302) 525-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R197476
MD
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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