Organization
VITAL TRADITIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED URCHEK M. AC. (ACUPUNCTURIST)
(330) 606-6376
Entity
Organization
Contact information
Practice address
1103 KIRKLYNN AVE, TAKOMA PARK, MD 20912-7519
(330) 606-6376
Mailing address
1103 KIRKLYNN AVE, TAKOMA PARK, MD 20912-7519
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02200
MD
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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