Individual
TARA M SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4333
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4333
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
26NO11950600
NJ
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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