Individual
MS. MICHELE EVONNE HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2124 PRIEST BRIDGE DR, SUITE #10, CROFTON, MD 21114-2936
(410) 721-3789
(410) 721-3036
Mailing address
966 GAMBRILLS LN, GAMBRILLS, MD 21054-1017
(410) 674-4674
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00715
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL55ME
BLUE CROSS BLUE SHIELD
MD
Enumeration date
02/04/2007
Last updated
07/08/2007
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