Individual
REGINA ALEXANDRA TARARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4050 BROOKSIDE AVE, ST LOUIS PARK, MN 55416-2809
(651) 210-9423
Mailing address
1835 ALTA VISTA DR, ROSEVILLE, MN 55113-6559
(651) 210-9423
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1608
MN
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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