# NOURISHING LIFE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1841764057
- **Authorized official:** KIM-KHANH NGUYEN L.AC., DOM, DIPL.OM. (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (443) 312-9560

## Contact information

- **Practice address:** 7300 GRACE DR \# 1A, COLUMBIA, MD 21044-2473
- **Practice address phone:** (443) 312-9560
- **Mailing address:** 7300 GRACE DR STE A, COLUMBIA, MD 21044-2473
- **Mailing address phone:** (443) 312-9560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2019
- **Last updated:** 05/01/2019