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Organization

PERILLA WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK ROBERT PERILLA M.AC, L.AC (LICENSED ACUPUNCTURIST)
(443) 280-2164
Entity
Organization

Contact information

Practice address
611 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(443) 280-2164
Mailing address
PO BOX 6702, ANNAPOLIS, MD 21401-0702
(443) 280-2164

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02154
MD

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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