| NPI | 1740429984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN S CARON President 386-677-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2427) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA35023) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-23 |