Iris, Tara Jane

Iris, Tara Jane is an individual health care provider with primary practice located at 975 N D St , Stockton CA 95205-4367. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Iris, Tara Jane can be contacted via phone (209) 470-3836.

Contact Information

Primary practice address
975 N D St Stockton CA 95205-4367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 632072 California

Profile Details

NPI number 1881331627
LBN Legal business name Iris, Tara Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2022
Last updated May 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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