Individual
BRIAN RAY,OND GUANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM, LAC
Contact information
Practice address
313 W MAIN ST STE B, WOODBURY, TN 37190-1144
(615) 318-6872
Mailing address
1426 SUGAR TREE KNOB RD, LIBERTY, TN 37095-9329
(615) 318-6872
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
242
TN
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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