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NPI Code Detail

MEDICARE: TARA ROMERO

MEDICARE: TARA ROMERO
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
1251S00000XCommunity/Behavioral Health AgencyNV20131357483NV

General Provider Information

NPI Number : 1801228150
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARA ROMERO
Provider Business Mailing Address
First Line : 5160 S EASTERN AVE
Second Line : STE C
City : LAS VEGAS
State : NV
Zip : 89119-2300
Country : US
Telephone Number : 702-738-2482
Fax Number :
Provider Business Practice Location Address
First Line : 5160 S EASTERN AVE
Second Line : STE C
City : LAS VEGAS
State : NV
Zip : 89119-2300
Country : US
Telephone Number : 702-738-2482
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. TARA LYN ROMERO
Credential : BACHELORS DEGREE
Telephone Number : 702-738-2482
Provider Enumeration Date : 08/08/2013
Last Update Date : 08/08/2013

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Directions to “TARA ROMERO ” Practice Location

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