# RADIANT WELLNESS LLC

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

## Provider details

- **NPI number:** 1437684420
- **Authorized official:** MRS. GENA ROBERGE L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (402) 618-3338

## Contact information

- **Practice address:** 2000 GIRARD AVE, BALTIMORE, MD 21211-1331
- **Practice address phone:** (402) 618-3338
- **Mailing address:** 2000 GIRARD AVE, BALTIMORE, MD 21211-1331
- **Mailing address phone:** (402) 618-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02022 | MD | Yes |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 04/27/2017