Organization
AWAKEN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L STUKEY L.AC. (LICENSE ACUPUNCTURIST)
(410) 312-9922
Entity
Organization
Contact information
Practice address
7130 MINSTREL WAY STE 160, COLUMBIA, MD 21045-5336
(410) 312-9922
Mailing address
7130 MINSTREL WAY STE 160, COLUMBIA, MD 21045-5336
(410) 312-9922
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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