NPI | 1487106357 |
---|---|
Former Name | JOANN C DURAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 006635-01) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 263687-1) |
172M00000X Mechanotherapist (Licence: NY 023381-1) | |
Enumeration Date | 2016-10-26 |
Last Update Date | 2023-06-05 |