Individual
MR. JAMPA MACKENZIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
6 GREEN HILL RD, WASHINGTON DEPOT, CT 06793-1201
(512) 291-8363
Mailing address
PO BOX 311, 6 GREEN HILL ROAD, WASHINGTON DEPOT, CT 06794-0311
(512) 291-8363
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000675
CT
Other
Enumeration date
02/22/2007
Last updated
03/30/2017
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