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Organization

BLUE HERON VITALITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL BURACK LAC (OWNER/LICENSED ACUPUNCTURIST)
(603) 455-7146
Entity
Organization

Contact information

Practice address
333 FAIRVIEW AVE, WESTWOOD, NJ 07675-1704
(603) 455-7146
Mailing address
369 KINDERKAMACK RD, WESTWOOD, NJ 07675-1652
(603) 455-7146

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
06/21/2025
Last updated
08/15/2025
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