Individual
RACHEL TAILLACQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CA, CMT, CPT
Contact information
Practice address
20 MAPLEWOOD DR, BRICK, NJ 08723-3334
(732) 547-8281
Mailing address
20 MAPLEWOOD DR, BRICK, NJ 08723-3334
(732) 547-8281
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00044500
NJ
Other
Enumeration date
11/28/2007
Last updated
07/31/2013
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