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Organization
TSP AT HAVEN ON THE LAKE
Active
Organization
TSP AT HAVEN ON THE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TORI LYNN PAIDE L.AC (OWNER)
(202) 352-5289
Entity
Organization
Contact information
Practice address
10275 LITTLE PATUXENT PKWY, SUITE 102, COLUMBIA, MD 21044-3412
(202) 352-5289
Mailing address
5570 STERRETT PL, #202, COLUMBIA, MD 21044-2641
(202) 352-5289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01486
MD
Other
Enumeration date
03/26/2016
Last updated
03/26/2016
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