Organization
EASTERN HOLISTIC ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY L HACKETT (PRESIDENT)
(202) 651-0884
Entity
Organization
Contact information
Practice address
1010 WISCONSIN AVE NW, SUITE 280, WASHINGTON, DC 20007-3603
(202) 651-0884
(202) 248-3690
Mailing address
1010 WISCONSIN AVE NW, SUITE 280, WASHINGTON, DC 20007-3603
(202) 651-0884
(202) 248-3690
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC5000088
DC
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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