Individual
CHANGING SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 OSLER DR, 102, TOWSON, MD 21204-7673
(410) 828-1800
(410) 828-7863
Mailing address
7401 OSLER DR, 102, TOWSON, MD 21204-7673
(410) 828-1800
(410) 828-7863
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01117
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624504-01
CAREFIRST BLUE SHIELD
MD
01
—
J427-0001
BLUE CHOICE
MD
Enumeration date
02/06/2007
Last updated
07/08/2007
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