Organization
ACUESSENCE, LLC
Active
Other names
Suwannee River Community Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN MARIE THEVENAU AP (OWNER)
(386) 361-8462
Entity
Organization
Contact information
Practice address
312 OHIO AVE N, LIVE OAK, FL 32064-2457
(386) 361-8462
Mailing address
835 167TH PL, LIVE OAK, FL 32060-8025
(281) 658-5459
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACU.0001948
CO
171100000X
Acupuncturist
Primary
AP 3345
FL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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