Individual
TARA FAITH BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1290 YELLOW PINE AVE, BOULDER, CO 80304-2264
(303) 359-3637
Mailing address
1290 YELLOW PINE AVE, BOULDER, CO 80304-2264
(303) 359-3637
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
771
CO
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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