Individual
CAITLIN TARNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(224) 656-3172
Mailing address
1034 S SIENNA CT, ROUND LAKE, IL 60073-5641
(224) 656-3172
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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