Individual
DR. TARA SELENE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3107 PENN AVE N, MINNEAPOLIS, MN 55411-1123
(612) 521-1386
(612) 521-1926
Mailing address
3107 PENN AVE N, MINNEAPOLIS, MN 55411-1123
(612) 521-1386
(612) 521-1926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4266
MN
Other
Enumeration date
04/12/2007
Last updated
07/09/2007
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