| NPI | 1194142596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH MARAHIA JACKSON ALLEN Owner 804-464-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-04-30 |