Organization
39 MINUTE WORKOUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BEARES LAC (OWNER)
(301) 758-4110
Entity
Organization
Contact information
Practice address
8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872
(410) 935-0967
Mailing address
8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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