Organization
EAGLE PEAK WELLNESS, INC.
Active
Other names
Eagle Peak Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN ROSE RIDDICK LAC, LMT (PRESIDENT)
(845) 750-4896
Entity
Organization
Contact information
Practice address
394 HASBROUCK AVE # 2C, KINGSTON, NY 12401-4631
(845) 750-4896
Mailing address
394 HASBROUCK AVE # 2C, KINGSTON, NY 12401-4631
(845) 750-4896
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/28/2023
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