Individual
JESSICA WHALEY-JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSTOM,DIPL.OM
Contact information
Practice address
214 W 29TH ST, SUITE 901, NEW YORK, NY 10001-5203
(347) 276-1213
Mailing address
100 MASPETH AVE APT 3N, BROOKLYN, NY 11211-2564
(347) 276-1213
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004829
NY
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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