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Organization
SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC
Active
Organization
SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RENFROE DOM, AP (OWNER)
(813) 770-6225
Entity
Organization
Contact information
Practice address
3715 W HORATIO ST, TAMPA, FL 33609-3917
(813) 770-6225
Mailing address
4003 W SAN RAFAEL ST, TAMPA, FL 33629-5733
(813) 770-6225
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3367
FL
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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