Tara Wilson
NPI #1962895698 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1962895698
- Entity Type
- Organization
- Organization Name
- Tara Wilson
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 5, 2015
- Last Updated
- Mar 5, 2015
Practice Location
- Address
- 1028 LOCKMAN AVE
- Address 2
- 2
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45238-4512
- Phone
- (513) 655-7275
Authorized Official
- Name
- TARA STARR WILSON, LPN
- Title
- LPN
- Phone
- (513) 655-7275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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