Organization
FULL MOON ACUPUNCTURE AND HEALING ARTS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA VILLAMARIN (MEMBER)
(954) 680-5510
Entity
Organization
Contact information
Practice address
10400 GRIFFIN RD, SUITE 106, DAVIE, FL 33328-3337
(954) 680-5510
Mailing address
10400 GRIFFIN RD, SUITE 106, DAVIE, FL 33328-3337
(954) 680-5510
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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