Individual
TARA JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.M.S.
Contact information
Practice address
3118 KIMBALL AVE, WATERLOO, IA 50702-5253
(319) 236-3363
(319) 236-2500
Mailing address
3118 KIMBALL AVE, WATERLOO, IA 50702-5253
(319) 236-3363
(319) 236-2500
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A-33
IA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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