Individual
MS. DANA MICHELLE CARRUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
87 WEST MAIN STREET, DRYDEN, NY 13053
(607) 844-3304
Mailing address
87 WEST MAIN STREET, DRYDEN, NY 13053
(607) 844-3304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 004375
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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