Individual
MARIA VIRGINIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
142 JEFFERSON TRL # IG, HOPATCONG, NJ 07843-1517
(718) 207-0438
Mailing address
142 JEFFERSON TRL, HOPATCONG, NJ 07843-1517
(718) 207-0438
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NJ
171100000X
Acupuncturist
004131-1
NY
171100000X
Acupuncturist
Primary
25MZ00070300
NJ
Other
Enumeration date
12/23/2009
Last updated
01/03/2024
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