| NPI | 1619506300 |
|---|---|
| Former Legal Business Name | HOLYSTICK,LLC |
| Doing Business As | ACUPUNCTURE |
| Doing Business As | MEDICAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | HANUL JUNG CEO 240-945-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-01-18 |