Individual
DR. MARY ALINE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DAOM
Contact information
Practice address
1067 SUMMA BLVD, LEHIGH ACRES, FL 33974-5568
(510) 332-6817
Mailing address
1067 SUMMA BLVD, LEHIGH ACRES, FL 33974-5568
(510) 332-6817
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4002
FL
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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