Individual
JASON DARE WINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.O.M., L.AC.
Contact information
Practice address
250 W LANCASTER AVE, SUITE 220, PAOLI, PA 19301-1743
(610) 834-9030
Mailing address
611 LAUNFALL RD, PLYMOUTH MEETING, PA 19462-2115
(610) 834-9030
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
ACU-772
HI
171100000X
Acupuncturist
Primary
KO-000507
PA
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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