Individual
MRS. BETH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
647 WILDWOOD RD W, NORTHVALE, NJ 07647-1106
(201) 767-5387
Mailing address
647 WILDWOOD RD W, NORTHVALE, NJ 07647-1106
(201) 767-5387
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3152
NY
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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