| NPI | 1720445158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CAROL TYSON Managing Director 301-806-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01974) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2017-05-16 |