NPI | 1730612516 |
---|---|
Former Legal Business Name | SARAH MANTELL, MS, LAC |
Entity Type | Organization |
Authorized Contact | SARAH ROSE MANTELL MARINO Owner 315-719-7072 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 004119) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2024-02-29 |