Individual
MRS. TIAA C. HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.AC, L.AC
Contact information
Practice address
1629 CROFTON CTR STE 18, CROFTON, MD 21114-1318
(301) 580-4585
(240) 366-5954
Mailing address
1123 STATE ROUTE 3 N STE 282, GAMBRILLS, MD 21054-1715
(301) 580-4585
(240) 366-5954
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02667
MD
171400000X
Health & Wellness Coach
A-3087586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764013700
—
MD
Enumeration date
08/16/2019
Last updated
03/30/2021
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