Individual
ABBY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872
(301) 758-4110
Mailing address
8001 HILLSBOROUGH RD STE IJ, ELLICOTT CITY, MD 21043-6872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01606
MD
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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