Tara Jean Edersheim

NPI #1881231926 in Auburn, New York

Provider Information

NPI Number
1881231926
Entity Type
Individual
Name
Tara Jean Edersheim
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 9, 2019
Last Updated
Dec 9, 2019

Practice Location

Address
17 E GENESEE ST STE 1
City
Auburn
ZIP Code
13021-4068
Phone
(315) 253-9795

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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