Organization
LIFE IS QI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODIN GUTIERREZ (PRESIDENT)
(786) 564-1881
Entity
Organization
Contact information
Practice address
1650 NE 26TH ST, SUITE 101, WILTON MANORS, FL 33305-1431
(786) 564-1881
Mailing address
1650 NE 26TH ST, SUITE 101, WILTON MANORS, FL 33305-1431
(786) 564-1881
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2616
FL
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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