Individual
MRS. JILL ELLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.AC.
Contact information
Practice address
307 PATLEIGH RD, CATONSVILLE, MD 21228-5631
(410) 788-1851
Mailing address
307 PATLEIGH RD, CATONSVILLE, MD 21228-5631
(410) 788-1851
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01255
MD
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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