Individual
TARA LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3663 COLLEGE ST SE STE F, LACEY, WA 98503-2303
(253) 265-5116
Mailing address
2574 BIRCH CT, MILTON, WA 98354-9354
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60742084
WA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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