# VERONICA BOGOMAZOVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659781599
- **Gender:** F
- **Credential:** L.AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00101400 | NJ | Yes |

## Other

- **Enumeration date:** 04/30/2014
- **Last updated:** 10/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25MZ00101400 | NJ STATE ACUPUNCTURE LICENSE | NJ |