Individual
TAMMY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.AC.
Contact information
Practice address
75 N MAIN ST, HARTFORD, WI 53027-1531
(262) 825-8282
Mailing address
10040 N PORT WASHINGTON RD, MEQUON, WI 53092-5740
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
878-55
WI
Other
Enumeration date
11/10/2011
Last updated
03/17/2018
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