Individual
CARLOS ALBERTO TARAZONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 NASHOBA AVE, COLUMBUS, OH 43223-1216
(626) 409-2930
Mailing address
148 NASHOBA AVE, COLUMBUS, OH 43223-1216
(626) 409-2930
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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