Organization
JACKSONVILLE ORIENTAL MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN MANDUCA-MARQUEZ L.AC. (PRESIDENT)
(910) 989-0002
Entity
Organization
Contact information
Practice address
99 VILLAGE DR, SUITE 16, JACKSONVILLE, NC 28546-7067
(910) 989-0002
(910) 353-9753
Mailing address
99 VILLAGE DR, SUITE 16, JACKSONVILLE, NC 28546-7067
(910) 989-0002
(910) 353-9753
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
200001915786
NC
Other
Enumeration date
01/15/2007
Last updated
01/12/2011
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