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Organization
RADIANT WELLNESS LLC
Active
Organization
RADIANT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENA ROBERGE L.AC. (ACUPUNCTURIST)
(402) 618-3338
Entity
Organization
Contact information
Practice address
2000 GIRARD AVE, BALTIMORE, MD 21211-1331
(402) 618-3338
Mailing address
2000 GIRARD AVE, BALTIMORE, MD 21211-1331
(402) 618-3338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02022
MD
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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