Individual
MARION GWYNN CHIPPENDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
8415 BELLONA LN, SUITE 211, TOWSON, MD 21204-2055
(410) 382-2914
Mailing address
727 SPOTTERS CT, HAMPSTEAD, MD 21074-3185
(410) 374-0306
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM-78-MG
BCBS NON-PARTICIPATING P
MD
Enumeration date
01/23/2007
Last updated
07/08/2007
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