TIA REARDON

ELKHART, IN
NPI1174651228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OH  072825)
Enumeration Date2007-03-01
Last Update Date2010-10-06
Business Address
-- TIA REARDON CRNA
500 N NAPPANEE ST STE 11B
ELKHART, IN 46514-1500
Phone number: 574-522-9922
Mailing Address
-- TIA REARDON CRNA
500 N NAPPANEE ST
ELKHART, IN 46514-1503
Phone number: 574-522-9922