Organization
EXTRAORDINARY VESSELS TRADITIONAL ACUPUNCTURE
Active
Organization
EXTRAORDINARY VESSELS TRADITIONAL ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DALE AMARAL KORANGY M.AC., L.AC. (ACUPUNCTURIST/ OWNER)
(410) 980-1397
Entity
Organization
Contact information
Practice address
1233 DIETRICH WAY, ANNAPOLIS, MD 21409-5020
(410) 980-1397
Mailing address
1233 DIETRICH WAY, ANNAPOLIS, MD 21409-5020
(410) 980-1397
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
U00484
MD
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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