Individual
SERENITY CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1025 BRIXTON DR, MACEDON, NY 14502-8831
(206) 491-3988
Mailing address
4218A E MAIN ST, WILLIAMSON, NY 14589-9755
(206) 491-3988
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005092
NY
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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