Organization
GRACE ACUPUNCTURE LLC
Active
Other names
Grace Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
GOEUN KIM L.A.C (OWNER)
(267) 957-4073
Entity
Organization
Contact information
Practice address
930 SUSQUEHANNA RD, AMBLER, PA 19002-3760
(267) 957-4073
Mailing address
930 SUSQUEHANNA RD, AMBLER, PA 19002-3760
(267) 957-4073
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790144517
—
PA
Enumeration date
06/28/2023
Last updated
06/28/2023
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