Individual
MR. CONRAD I HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, LAC
Contact information
Practice address
12417 MOUNTAIN LAUREL DR., EAST STROUDSBURG, PA 18302-8634
(570) 421-2260
Mailing address
12417 MOUNTAIN LAUREL DR., EAST STROUDSBURG, PA 18302-8634
(570) 269-6255
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001431
PA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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