Organization
INTEGRATED ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CORY JECMEN L.AC. (ACUPUNCTURIST)
(240) 498-9979
Entity
Organization
Contact information
Practice address
4701 SANGAMORE RD STE N270, BETHESDA, MD 20816-2528
(240) 507-5110
(844) 682-8102
Mailing address
41869 DUBLANE PL, ASHBURN, VA 20148-8038
(240) 498-9979
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U0172
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U0172
ACUPUNCTURE LICENSE
MD
Enumeration date
01/29/2018
Last updated
01/29/2018
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