Individual
TARALEE AMBER HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
323 MANZANITA ST, CENTRAL POINT, OR 97502-2052
(541) 890-4468
Mailing address
323 MANZANITA ST, CENTRAL POINT, OR 97502-2052
(541) 890-4468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19294
OR
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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