Organization
ANCIENT HEALING ACUPUNCTURE AND HERBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA R. RICHTER LAC (ACUPUNCTURIST)
(262) 880-1442
Entity
Organization
Contact information
Practice address
1744 22ND AVE, KENOSHA, WI 53140-1413
(262) 551-9667
Mailing address
5748 CAMBRIDGE LN, #8, RACINE, WI 53406-2839
(262) 886-8839
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
569-055
WI
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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