Individual
MISS JUDITH REBECCA KENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LAC
Contact information
Practice address
340 MEAD AVE, DECATUR, GA 30030
(404) 378-1543
(404) 378-1546
Mailing address
340 MEAD AVE, DECATUR, GA 30030
(404) 378-1543
(404) 378-1546
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
184
GA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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