Individual
GINA OLENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 CROFTON LN, SUITE 17A, CROFTON, MD 21114-1304
(410) 721-5742
Mailing address
2411 CROFTON LN, SUITE 17A, CROFTON, MD 21114-1304
(410) 721-5742
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02189
MD
Other
Enumeration date
10/29/2014
Last updated
08/16/2015
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