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Organization
ANCIENT HEALING WELLNESS CENTER LLC
Active
Organization
ANCIENT HEALING WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA J GOMEZ-MEDINA MSOM, PH.D (OWNER)
(210) 663-4643
Entity
Organization
Contact information
Practice address
103 N PARK BLVD, SAN ANTONIO, TX 78204-2430
(210) 663-4643
(210) 874-6617
Mailing address
103 N PARK BLVD, SAN ANTONIO, TX 78204-2430
(210) 663-4643
(210) 874-6617
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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