Individual
MS. VIRGINIA E MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
57 W 57TH ST, SUITE 1109, NEW YORK, NY 10019-2802
(917) 526-2365
Mailing address
57 W 57TH ST, SUITE 1109, NEW YORK, NY 10019-2802
(917) 526-2365
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003583
NY
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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