Individual
AURA LUCIA TAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NLMT
Contact information
Practice address
305 MEDICAL CT, MARTINSBURG, WV 25401-2843
(304) 267-4041
Mailing address
305 MEDICAL CT, MARTINSBURG, WV 25401-2843
(304) 267-4041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20112806
WV
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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