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Organization
GRACE ACUPUNCTURE AND ORIENTAL MEDICINE
Active
Organization
GRACE ACUPUNCTURE AND ORIENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE SEUNGHEE KIM LAC. (PRESIDENT)
(781) 861-0560
Entity
Organization
Contact information
Practice address
442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
(781) 861-0560
(781) 810-8799
Mailing address
442 MARRETT RD STE 6, LEXINGTON, MA 02421-7749
(781) 861-0560
(781) 810-8799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026496
NCCAOM
—
01
—
250192
STATE LICENSE
MA
Enumeration date
03/25/2019
Last updated
06/11/2019
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