TARA BOTTER

RONKONKOMA, NY
NPI1467907279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  554993)
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
-- TARA BOTTER RN
75 PARK AVE
RONKONKOMA, NY 11779-1727
Phone number: 631-605-5522
Mailing Address
-- TARA BOTTER RN
75 PARK AVE
RONKONKOMA, NY 11779-1727
Phone number: 631-605-5522
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