Individual
BETH GRUBB LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
410 MAIN ST, REISTERSTOWN, MD 21136-1906
(410) 591-2644
Mailing address
12012 ASHLEY DR, ROCKVILLE, MD 20852-2336
(410) 591-2644
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01365
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25CVBR
BCBSCAREFIRST MD PROVIDER
MD
01
—
6310
BCBSCAREFIRST DC PROVIDER
DC
Enumeration date
11/06/2006
Last updated
02/23/2011
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