Individual
JODI ALICIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. LAC
Contact information
Practice address
333 E 46TH ST APT 1J, NEW YORK, NY 10017-7426
(917) 348-3005
Mailing address
225 ADAMS ST APT 8F, BROOKLYN, NY 11201-2871
(917) 348-3005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002775
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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