Individual
DR. TATIANA IWASECZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
70 HERITAGE AVE, #15, PORTSMOUTH, NH 03801-5662
(603) 436-9009
(603) 436-9069
Mailing address
70 HERITAGE AVE, #15, PORTSMOUTH, NH 03801-5662
(603) 436-9009
(603) 436-9069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
#570-0999
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30250570
—
NH
Enumeration date
02/19/2007
Last updated
07/09/2007
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