Individual
KIVA BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC.
Contact information
Practice address
13 W POTOMAC ST, BRUNSWICK, MD 21716-1112
(240) 753-8044
Mailing address
34942 CHARLES TOWN PIKE, HILLSBORO, VA 20132-1816
(240) 753-8044
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01781
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U01781
MARYLAND ACUPUNCTURE LICENSE
MD
Enumeration date
01/05/2022
Last updated
01/05/2022
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