Provider Demographics
NPI:1871877126
Name:TAPIA-CORNET, ANNETTE M (MAC, LAC, DIPLAC)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:M
Last Name:TAPIA-CORNET
Suffix:
Gender:F
Credentials:MAC, LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 CRITTENDEN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4741
Mailing Address - Country:US
Mailing Address - Phone:202-550-1663
Mailing Address - Fax:
Practice Address - Street 1:424 CRITTENDEN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4741
Practice Address - Country:US
Practice Address - Phone:202-550-1663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01927171100000X
DCAC500144171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist