Organization
LOVING LIGHT ACUPUNCTURE AND HERB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAEHWAN JI (MANAGER)
(201) 469-6899
Entity
Organization
Contact information
Practice address
460 BERGEN BLVD STE 304, PALISADES PARK, NJ 07650-2345
(201) 469-6899
Mailing address
460 BERGEN BLVD STE 304, PALISADES PARK, NJ 07650-2345
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00075000
NJ
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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