Individual
MS. CAROLINE GRACE ASHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC.
Contact information
Practice address
255 S 17TH ST, #1502, PHILADELPHIA, PA 19103-6231
(215) 429-2662
Mailing address
4613 CEDAR AVE, #3, PHILADELPHIA, PA 19143-2172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000642
PA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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