Organization
WAYNE FAMILY WELLNESS, LLC
Active
Other names
VIllage Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE ISAKOV M.AC., L.AC. (FOUNDER, ACUPUNCTURIST)
(610) 203-3747
Entity
Organization
Contact information
Practice address
6 WATERLOO AVE, BERWYN, PA 19312-1731
(610) 203-3747
Mailing address
6 WATERLOO AVE, BERWYN, PA 19312-1731
(610) 203-3747
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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