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Organization
BLAKE ACUPUNCTURE & HERBAL MEDICINE
Active
Organization
BLAKE ACUPUNCTURE & HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BLAKE LIC.AC (LICENSED ACUPUNCTURIST)
(781) 269-2849
Entity
Organization
Contact information
Practice address
16 BRADLEE RD, MEDFORD, MA 02155-3171
(781) 269-2849
(866) 750-7899
Mailing address
16 BRADLEE RD, MEDFORD, MA 02155-3171
(781) 269-2849
(866) 750-7899
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
261149
MA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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