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Organization

JADE LOTUS ACUPUNCTURE AND ORIENTAL MEDICINE

Active
Other names
jade lotus Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JARED PATRICK GLENN AP, LMT (ACUPUNCTURE PHYSICIAN)
(850) 368-7872
Entity
Organization

Contact information

Practice address
12273 US HIGHWAY 98 W STE 120, MIRAMAR BEACH, FL 32550-6945
(850) 368-1685
Mailing address
1541 SCENIC GULF DR UNIT 5, MIRAMAR BEACH, FL 32550-6953
(850) 368-1685

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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