Individual
MS. PRISCILLA LOUISE SULLIVAN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 620-4040
Mailing address
315 W PATRICK ST, FREDERICK, MD 21701-4855
(301) 620-4040
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01979
MD
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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