Individual
MRS. TARA JANE PANDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3366 E 55TH ST, CLEVELAND, OH 44127-1638
(216) 271-1133
(216) 271-1325
Mailing address
1287 JACKSON AVE, LAKEWOOD, OH 44107-2730
(216) 221-6275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17633
OH
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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