Individual
MARIA ELIZABETH GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. L.AC.
Contact information
Practice address
7631 ALGON AVE, PHILADELPHIA, PA 19111-3331
(215) 722-3156
(215) 722-3156
Mailing address
7631 ALGON AVE, PHILADELPHIA, PA 19111-3331
(215) 722-3156
(215) 722-3156
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000905
PA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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