Individual
DR. RAE K DU SSOLLAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM, LAC, DIPLO. OM
Contact information
Practice address
422 DICKSON AVE, BEN AVON, PA 15202-1818
(412) 680-2120
Mailing address
422 DICKSON AVE, BEN AVON, PA 15202-1818
(412) 680-2120
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000053
PA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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