| NPI | 1609323385 |
|---|---|
| Doing Business As | SUWANNEE RIVER COMMUNITY ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN MARIE THEVENAU Owner 386-361-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP 3345) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0001948) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |