Individual
MS. TARA BIANCA RADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
819 BROAD ST, DURHAM, NC 27705-4137
(919) 399-1778
Mailing address
2601 PINEWOOD DR, DURHAM, NC 27705-2772
(415) 420-6725
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1036
NC
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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