Organization
BL CULTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOONGIL SHANNEN PARK (CLINIC SUPERVISOR)
(703) 407-8632
Entity
Organization
Contact information
Practice address
10320B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(301) 795-5888
Mailing address
10320B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(301) 795-5888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02313
MD
Other
Enumeration date
04/23/2016
Last updated
04/23/2016
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