| Tara Faith Brockman, LAC | |
|
1290 Yellow Pine Ave, Boulder, CO 80304-2264 | |
| (303) 359-3637 | |
| Not Available |
| Full Name | Tara Faith Brockman |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 1290 Yellow Pine Ave, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144794660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 771 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Faith Brockman, LAC 1290 Yellow Pine Ave, Boulder, CO 80304-2264 Ph: (303) 359-3637 | Tara Faith Brockman, LAC 1290 Yellow Pine Ave, Boulder, CO 80304-2264 Ph: (303) 359-3637 |
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