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Organization
SO'S FAMILY WELLNESS LLC
Active
Organization
SO'S FAMILY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIU SO (PRESIDENT)
(732) 546-1351
Entity
Organization
Contact information
Practice address
107 MONMOUTH RD, SUITE 109, WEST LONG BRANCH, NJ 07764-1000
(732) 546-1351
Mailing address
4 LILY CT, HOLMDEL, NJ 07733-1473
(732) 546-1351
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00053000
NJ
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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