Organization
SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERUSHA DEGROOTE STEPHENS LAC (OWNER)
(601) 487-1614
Entity
Organization
Contact information
Practice address
200 PARK CIRCLE DR STE 4, FLOWOOD, MS 39232-7800
(601) 487-1614
Mailing address
200 PARK CIRCLE DR STE 4, FLOWOOD, MS 39232-7800
(601) 487-1614
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/16/2020
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