TARA LEE VAN WORTH

RIDGECREST, CA
NPI1447527288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-11-22
Last Update Date2011-11-22
Business Address
-- TARA LEE VAN WORTH
1400 N NORMA ST STE 133
RIDGECREST, CA 93555-2577
Phone number: 760-499-7406
Mailing Address
-- TARA LEE VAN WORTH
1400 N NORMA ST STE 133
RIDGECREST, CA 93555-2577
Phone number: 760-499-7406