Organization
SHEN RADIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATMA MINHAS-KUCUK DAC, LAC (ACUPUNCTURIST/OWNER)
(914) 482-3945
Entity
Organization
Contact information
Practice address
50 CHURCH ST STE L4, MONTCLAIR, NJ 07042-2745
(914) 482-3945
Mailing address
55 VILLAGE RD, POMPTON PLAINS, NJ 07444-1829
(914) 482-3945
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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