Individual
MR. CLARK RAYMOND MOLLENHOFF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC., L.AC.
Contact information
Practice address
13534 JULIA MANOR WAY, WEST FRIENDSHIP, MD 21794-9219
(240) 481-7692
Mailing address
13534 JULIA MANOR WAY, WEST FRIENDSHIP, MD 21794-9219
(240) 481-7692
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02007
MD
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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