| NPI | 1063846574 | 
|---|---|
| Doing Business As | BLUEGREEN ACUPUNCTURE | 
| Entity Type | Organization | 
| Authorized Contact | LEONORA GEVAERD MANEKIN Business Owner 443-388-1110  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01822)  | 
| Enumeration Date | 2013-09-03 | 
| Last Update Date | 2016-12-28 |