# KARA GRANDEA ACUPUNCTURE & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417390006
- **Authorized official:** KARA GRANDEA M.O.M, L.AC. (PRESIDENT)
- **Authorized official phone:** (410) 375-9607

## Contact information

- **Practice address:** 8182 LARK BROWN RD, SUITE 102, ELKRIDGE, MD 21075-6428
- **Practice address phone:** (410) 375-9607
- **Mailing address:** 8382 MONTGOMERY RUN RD, F, ELLICOTT CITY, MD 21043-7246
- **Mailing address phone:** (410) 375-9607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U01966 | MD | Yes |

## Other

- **Enumeration date:** 04/12/2013
- **Last updated:** 03/02/2017
