Individual provider · NPI-1
Tara L. Maryas, C.O.A.
Technician/Technologist, Ophthalmic Assistant · Florissant, MO
NPI number1275549024
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1275549024
- Entity type
- Individual (NPI-1)
- Name
- Tara L. Maryas
- Credential
- C.O.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1101X | Technician/Technologist, Ophthalmic Assistant | – | – | Yes |
Practice location
900 N Us Highway 67Florissant, MO 63031-2919
Phone 314-838-0321
Mailing address
900 N Us Highway 67Florissant, MO 63031-2919
Phone 314-838-0321
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