Individual
KENNA BOUVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
531 50TH AVE, LONG ISLAND CITY, NY 11101-6297
(917) 725-0299
Mailing address
531 50TH AVE, LONG ISLAND CITY, NY 11101-6297
(917) 725-0299
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006730
NY
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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