Individual
MARY LYNN WIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 FLAGLER PLAZA DR, PALM COAST, FL 32137-5967
(386) 439-0239
Mailing address
9 CORAL REEF CT S, PALM COAST, FL 32137-8327
(386) 237-0668
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2077
FL
Other
Enumeration date
04/25/2006
Last updated
02/01/2009
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