Organization
ROSE KOI ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANI GERENIA LIC.AC. (OWNER)
(774) 314-2499
Entity
Organization
Contact information
Practice address
106 W MAIN ST STE 3, NORTHBOROUGH, MA 01532-1824
(774) 314-2499
Mailing address
123 CHAPIN RD APT 2A, HUDSON, MA 01749-2761
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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