Individual
KIRA RIO BOGUSLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
500 SANFORD AVE, SANFORD, FL 32771-1973
(321) 710-7066
Mailing address
3040 FOXHILL CIR APT 108, APOPKA, FL 32703-8145
(407) 803-1890
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3844
FL
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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