Individual
MS. MARY ANN WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.L.AC
Contact information
Practice address
250 WEST 57TH STREET, SUITE 2128, NYC, NY 10019
(646) 335-5563
Mailing address
92 WAYNE STREET, GARDEN APT, JERSEY CITY, NJ 07302
(646) 335-5563
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002502
NY
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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