Individual
SUSANNE MICHELLE HAFIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8388 COURT AVE STE 101, ELLICOTT CITY, MD 21043-4514
(410) 418-8840
(410) 418-8778
Mailing address
62 BRYANS MILL WAY, CATONSVILLE, MD 21228-5454
(410) 440-6993
(410) 418-8778
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
UO1109
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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