# SPRING TIDE ACUPUNCTURE

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

## Provider details

- **NPI number:** 1568831030
- **Authorized official:** MONICA SHIELDS (ACUPUNCTURIST)
- **Authorized official phone:** (207) 701-8198

## Contact information

- **Practice address:** 69 ELM ST, SUITE 104, CAMDEN, ME 04843-1954
- **Practice address phone:** (207) 701-8198
- **Mailing address:** 69 ELM ST, SUITE 104, CAMDEN, ME 04843-1954
- **Mailing address phone:** (207) 701-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC345 | ME | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015