Individual
MR. DANIEL IRVIN EBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC.,L.AC.
Contact information
Practice address
3930 KNOWLES AVE, SUITE 301, KENSINGTON, MD 20895-2428
(301) 949-5570
Mailing address
3930 KNOWLES AVE, SUITE 301, KENSINGTON, MD 20895-2428
(301) 949-5570
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00166
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U00166
STATE OF MARYLAND, DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
Enumeration date
12/07/2010
Last updated
12/07/2010
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