NPI | 1841561081 |
---|---|
Former Name | JACQUELINE BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000223) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2020-03-11 |