Individual
MARTHA ODETTE LAGO-WURSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
129 KINGS HWY N, WESTPORT, CT 06880-2438
(203) 253-3791
Mailing address
129 KINGS HWY N, WESTPORT, CT 06880-2438
(203) 253-3791
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000537
CT
Other
Enumeration date
05/09/2011
Last updated
07/22/2011
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