NPI | 1023607223 |
---|---|
Doing Business As | GREEN BANANA WELLNESS |
Entity Type | Organization |
Authorized Contact | ANNA MARIE MAHONEY Acupuncturist, Owner 732-977-0919 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |