Individual
OLIVIA R NIEDBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
104 BENNETT AVE STE 2C, MILFORD, PA 18337-9760
(570) 832-8600
Mailing address
104 BENNETT AVE STE 2C, MILFORD, PA 18337-9760
(570) 832-8600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000257
PA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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