NPI | 1417276890 |
---|---|
Doing Business As | INNERSOURCE HEALTH |
Entity Type | Organization |
Authorized Contact | JOSEPHINE LOGIUDICE Co Owner 631-421-1848 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist |
Enumeration Date | 2010-05-24 |
Last Update Date | 2010-05-24 |