Organization
BODY & SOUL ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA ELYNN WILTON L.AC., M.AC. (OWNER/ACUPUNCTURIST)
(860) 881-7449
Entity
Organization
Contact information
Practice address
5419 DEALE CHURCHTON RD STE 104, CHURCHTON, MD 20733-2408
(860) 881-7449
Mailing address
5419 DEALE CHURCHTON RD STE 104, CHURCHTON, MD 20733-2408
(860) 881-7449
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02143
MD
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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