Organization
A PATH TO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JACKSON AP (PRESIDENT)
(813) 659-2502
Entity
Organization
Contact information
Practice address
6822 22ND AVE N, NO 111, ST PETERSBURG, FL 33710-3918
(727) 729-0674
Mailing address
6822 22ND AVE N, NO 111, ST PETERSBURG, FL 33710-3918
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2609
FL
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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