Most Relevant Information
Provider Data
| NPI Number: | 1003263187 |
| Provider Name: | TESSA TAUCHERT |
| Entity Type: | Individual |
| Taxonomy Code: | 2472E0500X |
| Specialty: | Technician, Other |
| License Number: | 3341 |
Most Important Dates
| Enumeration Date: | 05/19/2016 |
| Last Updated: | 05/19/2016 |
Provider Practice Location
19530 MT ZION PKWY
CORNELIUS
NC
280318398
Practice Location Phone/Fax
| Phone: | 7049972970 |
| Fax: |
Provider Mailing Location
19530 MT ZION PKWY
CORNELIUS
NC
280318398
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |