Individual
AIDA TABIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 864-4802
Mailing address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN668265
PA
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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