# SO'S FAMILY WELLNESS LLC

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

## Provider details

- **NPI number:** 1548700784
- **Authorized official:** SIU SO (PRESIDENT)
- **Authorized official phone:** (732) 546-1351

## Contact information

- **Practice address:** 107 MONMOUTH RD, SUITE 109, WEST LONG BRANCH, NJ 07764-1000
- **Practice address phone:** (732) 546-1351
- **Mailing address:** 4 LILY CT, HOLMDEL, NJ 07733-1473
- **Mailing address phone:** (732) 546-1351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00053000 | NJ | Yes |

## Other

- **Enumeration date:** 03/07/2017
- **Last updated:** 03/07/2017
