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Organization
STREAMS OF QI, LLC
Active
Organization
STREAMS OF QI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA VON DER HEYDT LIC. AC., M.AC. (OWNER)
(304) 536-5074
Entity
Organization
Contact information
Practice address
100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
(304) 536-5074
(304) 536-5112
Mailing address
100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
(304) 536-5074
(304) 536-5112
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96158
WV
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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