Most Relevant Information
Provider Data
NPI Number: | 1003331372 |
Provider Name: | TARA LYNN DAVIS L.AC |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: | AC60742084 |
Most Important Dates
Enumeration Date: | 08/08/2017 |
Last Updated: | 08/08/2017 |
Provider Practice Location
3663 COLLEGE ST SE STE F
LACEY
WA
985032303
Practice Location Phone/Fax
Phone: | 2532655116 |
Fax: |
Provider Mailing Location
2574 BIRCH CT
MILTON
WA
983549354
Provider Mailing Phone/Fax
Phone: | |
Fax: |