NPI | 1629361969 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A FAIVRE Licensed Acupuncturist 815-895-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000020) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |