Organization
JABEZ WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MARIA VILLANUEVA DOM, AP (ACUPUNCTURE PHYSICIAN)
(813) 758-5222
Entity
Organization
Contact information
Practice address
122 RIVERSTONE COMMONS CIR, CANTON, GA 30114-5237
(813) 758-5222
Mailing address
122 RIVERSTONE COMMONS CIR, CANTON, GA 30114-5237
(813) 758-5222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
314
GA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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