Individual
MRS. TAMARA ST. THERESA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMTBT
Contact information
Practice address
952 S PARK AVE, FOND DU LAC, WI 54935-8041
(920) 251-8780
Mailing address
1107 COUNTY ROAD V, FOND DU LAC, WI 54935-7205
(920) 251-8780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10134-146
WI
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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