Organization
STREAMS OF QI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA VON DER HEYDT LIC. AC., M.AC. (OWNER)
(304) 536-5074
Entity
Organization
Contact information
Practice address
100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
(304) 536-5074
(304) 536-5112
Mailing address
100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
(304) 536-5074
(304) 536-5112
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96158
WV
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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