Individual
MRS. JENNIFER PARR MUTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.H., L.AC.
Contact information
Practice address
422 TAYLOR PL, ITHACA, NY 14850-3137
(518) 496-7309
Mailing address
605 N AURORA ST, ITHACA, NY 14850-3712
(518) 496-7309
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003846
NY
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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