Individual
JASON TRAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 LENDEW ST STE 11, GREENSBORO, NC 27408-7012
(336) 510-2029
Mailing address
1800 SWANNANOA DR, GREENSBORO, NC 27410-3934
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1040
NC
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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