Organization
HOLISTIC FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIKSCHAL R JOHANISON L.AC. (OWNER/ ACUPUNCTURIST)
(301) 642-1759
Entity
Organization
Contact information
Practice address
18931 FISHER AVE, POOLESVILLE, MD 20837-2298
(301) 642-1759
Mailing address
18931 FISHER AVE, POOLESVILLE, MD 20837-2298
(301) 642-1759
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01729
MD
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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