Individual
MS. MARY LYNN CARSTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
601 BRADY ST, SUITE 304, DAVENPORT, IA 52803-5267
(563) 650-6747
Mailing address
601 BRADY ST, SUITE 304, DAVENPORT, IA 52803-5267
(563) 650-6747
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A-43
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-43
ACUPUNCTURE
IA
Enumeration date
06/25/2016
Last updated
06/25/2016
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