Organization
JIA GUO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIA GUO DOM, L.AC (DOM)
(610) 526-9598
Entity
Organization
Contact information
Practice address
26 SUMMIT GROVE AVE STE 26, BRYN MAWR, PA 19010-3230
(610) 526-9598
Mailing address
26 SUMMIT GROVE AVE STE 26, BRYN MAWR, PA 19010-3230
(610) 526-9598
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM 000017
PA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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