Individual
SAMANTHA A MITCHELL-MACNICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
170 COMMERCIAL ST, SUITE 164, PROVINCETOWN, MA 02657-2136
(508) 487-8786
Mailing address
170 COMMERCIAL ST, SUITE 164, PROVINCETOWN, MA 02657-2136
(508) 487-8786
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
229
MA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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