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Individual
MRS. TIAA C. HARTLEY
Active
Individual
MRS. TIAA C. HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.AC, L.AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02667
MD
171400000X
Health & Wellness Coach
A-3087586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764013700
—
MD
Enumeration date
08/16/2019
Last updated
03/30/2021
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