Organization
BLUEGREEN ACUPUNCTURE AND BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEONORA GEVAERD MANEKIN L.AC (ACUPUNCTURIST)
(443) 388-1110
Entity
Organization
Contact information
Practice address
1515 LABELLE AVE, BALTIMORE, MD 21204-6606
(443) 388-1110
Mailing address
1515 LABELLE AVE, BALTIMORE, MD 21204-6606
(443) 388-1110
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/06/2010
Last updated
09/06/2010
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