Individual
MIA DIOR HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC
Contact information
Practice address
1841 BROADWAY, SUITE 505, NEW YORK, NY 10023-7603
(347) 566-0694
Mailing address
956 PARK PL, APT. 2, BROOKLYN, NY 11213-1803
(347) 566-0694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005840
NY
Other
Enumeration date
01/28/2017
Last updated
03/09/2017
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