Individual
MS. TARA EILEEN FERNALLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DAOM
Contact information
Practice address
135 CELIA CT, ALPHARETTA, GA 30022-7153
(678) 793-3834
Mailing address
LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100, APO, OVERSEAS MILITARY TREATMENT FACILITY 09180
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
225
GA
171100000X
Acupuncturist
Primary
3448
NY
Other
Enumeration date
03/04/2012
Last updated
08/15/2023
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