Organization
PEKOE ACUPUNCTURE AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE INGRID MIRES L.AC (OWNER, ACUPUNCTURISTT)
(202) 408-4858
Entity
Organization
Contact information
Practice address
1410 9TH ST NW STE 1, WASHINGTON, DC 20001-3361
(202) 408-4858
(202) 408-4857
Mailing address
1410 9TH ST NW STE 1, WASHINGTON, DC 20001-3361
(202) 408-4858
(202) 408-4857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD66
BLUECROSS BLUESHIELD
DC
Enumeration date
07/02/2019
Last updated
07/02/2019
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