Organization
ETHEREAL WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANI MAO (OWNER)
(443) 398-7018
Entity
Organization
Contact information
Practice address
1645 LIBERTY RD STE 102, SYKESVILLE, MD 21784-6537
(443) 398-7018
Mailing address
1645 LIBERTY RD STE 102, SYKESVILLE, MD 21784-6537
(443) 398-7018
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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