| NPI | 1356693709 |
|---|---|
| Former Legal Business Name | EAST LAKE ACUPUNCTURE & WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | JEANNETTE R KERNS President 407-738-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 3178) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-08-17 |