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Individual

JUSTIN ELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
8975 GUILFORD RD STE 170, COLUMBIA, MD 21046-2389
(240) 416-2767
Mailing address
323 COVE RD, RIVA, MD 21140-1225

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U03006
MD

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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