Individual
SYLVIA CHRISTINE LONGACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
13622 AMES DR, VIOLA, WI 54664-8811
(608) 627-2277
Mailing address
13622 AMES DR, VIOLA, WI 54664-8811
(608) 627-2277
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
586-55
WI
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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