Organization
MALLORIE KANTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORIE KANTER (OWNER)
(352) 562-6123
Entity
Organization
Contact information
Practice address
20721 TORRENCE CHAPEL RD, SUITE 101, CORNELIUS, NC 28031-6398
(704) 896-1983
Mailing address
21415 NAUTIQUE BLVD, APT. 204, CORNELIUS, NC 28031-6434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
828
NC
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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