Organization
DRAGON WELL ACUPUNCTURE AND HERBAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEDORA KAY FRAGA MAOM (SOLE PROPRIETOR/ ACUPUNCTURIST)
(860) 420-8855
Entity
Organization
Contact information
Practice address
36 CHURCH ST, 36A, PUTNAM, CT 06260-1866
(860) 481-3770
Mailing address
208 POLE BRIDGE RD, WOODSTOCK, CT 06281-1202
(860) 420-8855
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
594
CT
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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