Organization
BLUE HERON ACUPUNCTURE AND HERBAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENAUD (MANAGER)
(603) 225-1189
Entity
Organization
Contact information
Practice address
63 SCHOOL ST, SUITE 1, CONCORD, NH 03301-3930
(603) 225-1189
Mailing address
63 SCHOOL ST, SUITE 1, CONCORD, NH 03301-3930
(603) 225-1189
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
66
NH
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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