Organization
SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RENFROE DOM, AP (OWNER)
(813) 770-6225
Entity
Organization
Contact information
Practice address
3715 W HORATIO ST, TAMPA, FL 33609-3917
(813) 770-6225
Mailing address
4003 W SAN RAFAEL ST, TAMPA, FL 33629-5733
(813) 770-6225
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3367
FL
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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