BODANIELLE S PARK

LAWRENCEVILLE, GA
NPI1013287150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: GA  355)
Enumeration Date2012-01-06
Last Update Date2021-02-17
Business Address
Dr. BODANIELLE S PARK L.Ac, PHDOM
333 SWANSON DR STE 102
LAWRENCEVILLE, GA 30043-8537
Phone number: 678-878-3069
Mailing Address
Dr. BODANIELLE S PARK L.Ac, PHDOM
PO BOX 490186
LAWRENCEVILLE, GA 30049-0004
Phone number: 678-878-3069
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