Organization
FLYING TURTLE HEALING ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNIE KOA LAC., MAOM, DIPL.OM (OWNER/PRACTITIONER)
(617) 294-9109
Entity
Organization
Contact information
Practice address
259 ELM ST, SUITE 300B, SOMERVILLE, MA 02144-2950
(617) 294-9109
Mailing address
259 ELM ST, SUITE 300B, SOMERVILLE, MA 02144-2950
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
253925
MA
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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