MEDICARE: ALICIA ROCHELLE TAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1427282615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA ROCHELLE TAU

Provider Business Mailing Address
First Line	:	18271 DUSTIN COURT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506
Country	:	US
Telephone Number	:	775-250-5367
Fax Number	:

Provider Business Practice Location Address
First Line	:	18271 DUSTIN CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89508-2527
Country	:	US
Telephone Number	:	775-250-5367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	05/04/2009

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Directions to “ ALICIA ROCHELLE TAU ” Practice Location

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