DR. Kathleen Brianne Tariq, OD

NPI #1437670080 in Laurel, Mississippi

Provider Information

NPI Number: 1437670080
Entity Type: Individual
Name: DR. Kathleen Brianne Tariq, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 5, 2017
Last Updated: Feb 1, 2022

Practice Location

Address: 1431 W 10TH ST STE 5
City: Laurel
State: Mississippi
ZIP Code: 39440-2626
Phone: (601) 649-1437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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