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Organization
SOARING SPIRIT ACUPUNCTURE LLC
Active
Organization
SOARING SPIRIT ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACHINA L SMITH L.AC. (OWNER/LICENSED ACUPUNCTURIST)
(612) 888-7721
Entity
Organization
Contact information
Practice address
7750 MONTPELIER RD, LAUREL, MD 20723-6010
(612) 888-7721
Mailing address
3401 24TH AVE, TEMPLE HILLS, MD 20748-2841
(301) 580-1411
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02383
MD
Other
Enumeration date
01/28/2017
Last updated
04/24/2017
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