Individual
TAISSA KIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AC., L.AC.
Contact information
Practice address
405 ALDERBROOK DR, WAYNE, PA 19087-2247
(484) 367-5077
Mailing address
405 ALDERBROOK DR, WAYNE, PA 19087-2247
(484) 367-5077
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001205
PA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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