Individual
TABITHA RADERMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
Mailing address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-2502
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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