Individual
TAMMY SURPRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.AC., L.AC.
Contact information
Practice address
2110 PRIEST BRIDGE DR STE 3, CROFTON, MD 21114-2472
(240) 687-7833
Mailing address
16322 ELKHORN LN, BOWIE, MD 20716-3267
(240) 687-7833
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01883
MD
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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