Individual
MS. TARA TEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
970 N. KALAHEO AVENUE, C315, KAILUA, HI 96734
(808) 254-5577
Mailing address
970 N KALAHEO AVE STE C315, KAILUA, HI 96734-1883
(808) 254-5577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1326
HI
Other
Enumeration date
07/08/2009
Last updated
03/14/2016
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