Individual
TIARA LATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
18924 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 474-1949
Mailing address
18924 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 474-1949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6917
MN
Other
Enumeration date
12/02/2021
Last updated
02/28/2022
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