Organization
EASTERN LIGHT ORIENTAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J BARRU L.AC. (DIRECTOR)
(443) 850-2733
Entity
Organization
Contact information
Practice address
404 6TH AVE NE, GLEN BURNIE, MD 21060-6828
(443) 850-2733
Mailing address
404 6TH AVE NE, GLEN BURNIE, MD 21060-6828
(443) 850-2733
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01462
MD
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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