Individual
MRS. TETYANA VASYLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1330 PARKWAY AVE, SUITE 9, EWING, NJ 08628-3006
(609) 771-6192
(609) 771-6874
Mailing address
2088 OLD WELSH RD, ABINGTON, PA 19001
(215) 658-4917
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00048800
NJ
171100000X
Acupuncturist
AK000819
PA
Other
Enumeration date
06/27/2007
Last updated
08/11/2011
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