Mendieta, Tara Lee

Mendieta, Tara Lee is an sole proprietor health care provider with primary practice located at 622 State Route 708 , Russells Point OH 43348-9710. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mendieta, Tara Lee can be contacted via phone (419) 575-2055.

Contact Information

Primary practice address
622 State Route 708 Russells Point OH 43348-9710
Phone: (419) 575-2055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.136844-IV Ohio

Profile Details

NPI number 1992033476
LBN Legal business name Mendieta, Tara Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2009
Last updated Nov 22nd, 2009 - about 15 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.

Request for update

Popular Providers