| NPI | 1053646083 |
|---|---|
| Doing Business As | BLUE HERON WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ELISA RIVETTI Owner/Manager 301-754-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |