TARA DEITRICK

MINEOLA, NY
NPI1497855704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  9330)
Enumeration Date2006-09-25
Last Update Date2017-11-29
Business Address
TARA DEITRICK
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-741-0570
Mailing Address
TARA DEITRICK
17 KENWOOD RD
GARDEN CITY, NY 11530-3034
Phone number: 516-248-1420
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