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Individual

MR. JONATHAN DANIEL WALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC., A.P

Contact information

Practice address
3850 S OSPREY AVE, SUITE 204, SARASOTA, FL 34239-6829
(941) 320-1719
Mailing address
3850 S OSPREY AVE, SUITE 204, SARASOTA, FL 34239-6829
(941) 320-1719

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002134
WA
171100000X
Acupuncturist
Primary
AP2534
FL

Other

Enumeration date
08/29/2006
Last updated
08/05/2015
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