Organization
VETERAN SANCTUARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKHINSHA HOLLIS LAC (OWNER/ACUPUNCTURIST)
(229) 733-8016
Entity
Organization
Contact information
Practice address
4813 W NATIONAL AVE, MILWAUKEE, WI 53214-3523
(414) 502-8235
Mailing address
S30W30370 SUNSET DR, WAUKESHA, WI 53189-9007
(229) 733-8016
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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