Organization
NOURISHING LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA EASLEY LAC (ACUPUNCTURIST)
(631) 403-7689
Entity
Organization
Contact information
Practice address
10 STATION CT, BELLPORT, NY 11713-2453
(631) 403-7689
Mailing address
10 STATION CT, BELLPORT, NY 11713-2453
(631) 681-2580
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
03/26/2021
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