| NPI | 1265638308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA MARIE BRANDT Treasurer 301-953-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U411) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U335) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |