Individual
MIKAHLA INSALACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. AC., L. AC.
Contact information
Practice address
12451 CLARKSVILLE PIKE, CLARKSVILLE, MD 21029-1223
(410) 531-3245
Mailing address
10708 ENFIELD DR, WOODSTOCK, MD 21163-1416
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01962
MD
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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