Organization
TEA HOUSE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN CAMILLE STERN CA, LAC, MSOM (MANAGER)
(262) 248-3800
Entity
Organization
Contact information
Practice address
835 GENEVA PKWY N, SUITE #3, LAKE GENEVA, WI 53147-5700
(262) 248-3800
Mailing address
835 GENEVA PKWY N, SUITE #3, LAKE GENEVA, WI 53147-5700
(262) 248-3800
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
706055
WI
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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