Individual
MARY L BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
312 S BROAD ST, BROOKSVILLE, FL 34601-2824
(352) 799-1882
(352) 799-1882
Mailing address
312 S BROAD ST, BROOKSVILLE, FL 34601-2824
(352) 799-1882
(352) 799-1882
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2516
FL
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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