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Organization

REVITALIZE HEALTH ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIEM QUANG LE-LAU DAOM (OWNER/PRACTITIONER)
(760) 710-7836
Entity
Organization

Contact information

Practice address
10927 N 56TH ST, TEMPLE TERRACE, FL 33617-3000
(760) 710-7836
Mailing address
503 E JACKSON ST # 224, TAMPA, FL 33602-4904
(760) 710-7836

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
03/18/2016
Last updated
03/18/2016
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