Individual
DR. KATHLEEN BRIANNE TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1431 W 10TH ST STE 5, LAUREL, MS 39440-2626
(601) 649-1437
(601) 649-1431
Mailing address
1431 W 10TH ST STE 5, LAUREL, MS 39440-2626
(601) 649-1437
(601) 649-1431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1040
MS
Other
Enumeration date
07/05/2017
Last updated
02/01/2022
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