Individual
AYLA ASA TEITELBUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.AC.
Contact information
Practice address
111 CHESTNUT ST, LOWER LEVEL, PROVIDENCE, RI 02903-4169
(401) 368-5940
Mailing address
111 CHESTNUT ST, LOWER LEVEL, PROVIDENCE, RI 02903-4169
(401) 368-5940
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00298
RI
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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