Organization
LIFE GATE HOLISITC LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA BELENO CARNEY LIC. AC., FABORM (OWNER/DIRECTOR)
(978) 448-0405
Entity
Organization
Contact information
Practice address
66 BOSTON RD, GROTON, MA 01450-1862
(978) 294-9291
Mailing address
66 BOSTON RD, GROTON, MA 01450-1862
(978) 294-9291
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
226478
MA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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