| NPI | 1972839264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE H. SHANNON Managing Member 772-501-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2563) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |