Individual
MS. TARA LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 EUGENE CERNAN ST, LAS VEGAS, NV 89145-6129
(702) 525-9470
Mailing address
912 EUGENE CERNAN ST, LAS VEGAS, NV 89145-6129
(702) 525-9470
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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