Individual
JULIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L,AC
Contact information
Practice address
74 MAIN STREET, PHOENICIA, NY 12464
(845) 688-2323
Mailing address
1246 WOODLAND VALLEY RD, PHOENICIA, NY 12464-5347
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002648
NY
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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