Individual
ALICIA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC.
Contact information
Practice address
80 E RTE 4 STE 100, PARAMUS, NJ 07652-2647
(201) 845-3000
Mailing address
8 MADELINE LN, E GREENBUSH, NY 12061-4233
(315) 521-9769
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU0002244
CO
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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