Individual
MS. SUSAN MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC M.AC
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(866) 437-3826
Mailing address
5303 ABITARE BLVD, VOORHEES, NJ 08043-2670
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000024L
PA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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