ALEXCES TARA RAU

MEDFORD, NY
NPI1427492248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  308564-1)
Enumeration Date2013-04-23
Last Update Date2013-04-23
Business Address
-- ALEXCES TARA RAU LPN
514 LAKE DR
MEDFORD, NY 11763-4609
Phone number: 631-413-2373
Mailing Address
-- ALEXCES TARA RAU LPN
514 LAKE DR
MEDFORD, NY 11763-4609
Phone number: