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Tienahosa Tara Diabo
Specialist in Kenmore, New York
NPI 1699073130

Tienahosa Tara Diabo is a Specialist based in Kenmore, NY. Tienahosa Tara Diabo practices in Kenmore, NY. The NPI Number for Tienahosa Tara Diabo is 1699073130 and holds a License No. 033343-1 (New York).

The current practice location address for Tienahosa Tara Diabo is 2900 Delaware Ave, Kenmore, NY and can be reached out via phone at 716-871-9883 and via fax at 716-871-9887.

Location: 2900 Delaware Ave, Kenmore, NY, 14217-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699073130
Provider Name
Tienahosa Tara Diabo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 Delaware Ave, Kenmore, NY, 14217-2309
Phone Number
716-871-9883
Fax Number
716-871-9887
Provider Enumeration Date
03/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2900 Delaware Ave
City
Kenmore
State
New York
Zip
14217-2309
Phone Number
716-871-9883
Fax Number
716-871-9887
person
Provider Business Mailing Address Details
Address
2900 Delaware Ave
City
Kenmore
State
New York
Zip
14217-2309
Phone Number
716-871-9883
Fax Number
716-871-9887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
033343-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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