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Individual

MS. CELESTE JOYCE HOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
12185 LIME KILN RD, FULTON, MD 20759-9612
(301) 725-3606
Mailing address
12185 LIME KILN RD, FULTON, MD 20759-9612
(301) 725-3606

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00749
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BL78
MD BCBS
MD
Enumeration date
08/29/2007
Last updated
08/30/2007
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