Organization
MICHELLE RACINE LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RACINE L.AC. (OWNER)
(603) 502-4629
Entity
Organization
Contact information
Practice address
24 CHURCH ST, WATERTOWN, MA 02472-3851
(603) 502-4629
Mailing address
52 HARVARD AVE, MEDFORD, MA 02155-3505
(603) 502-4629
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
268874
MA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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