Individual
DR. MARA S KEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM, L.AC., DIPL.AC
Contact information
Practice address
111 2ND AVE NE STE 705, ST PETERSBURG, FL 33701-3441
(727) 677-8006
Mailing address
740 4TH ST N # 195, ST PETERSBURG, FL 33701-2322
(727) 677-8006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4079
FL
171100000X
Acupuncturist
AC158039
OR
Other
Enumeration date
05/23/2012
Last updated
07/19/2023
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