Individual
SUSAN L SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOM, LAC, DIPL OM
Contact information
Practice address
118 MAIN ST STE 5, WATERTOWN, MA 02472-4425
(617) 650-2422
Mailing address
430 COMMON ST # 3, BELMONT, MA 02478-2704
(617) 650-2422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
230122
MA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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